| Entity Name: | JIREH MEDICAL CENTER, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Dec 2015 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Jun 2018 (7 years ago) |
| Document Number: | P15000100001 |
| FEI/EIN Number | 81-1065018 |
| Address: | 7900 NW 33RD STREET, SUITE 101, HOLLYWOOD, FL 33024 |
| Mail Address: | 7900 NW 33RD STREET, SUITE 101, HOLLYWOOD, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932566965 | 2016-01-21 | 2019-06-12 | 7900 NW 33RD ST STE 101, HOLLYWOOD, FL, 330242209, US | 7900 NW 33RD ST STE 101, HOLLYWOOD, FL, 330242209, US | |||||||||||||||
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| Phone | +1 954-962-5300 |
| Fax | 9549620100 |
Authorized person
| Name | DR. MARTA ROSA FERNANDEZ |
| Role | MD |
| Phone | 9549625300 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PONTILES, ROSSANA | Agent | 7900 NW 33RD STREET, SUITE 101, HOLLYWOOD, FL 33024 |
| Name | Role | Address |
|---|---|---|
| PONTILES, ROSSANA | President | 7900 NW 33RD STREET, HOLLYWOOD, FL 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2018-06-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-26 |
| Amendment | 2018-06-15 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
