Entity Name: | LA FAMILIA MEDICAL CENTER INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 16 Mar 2016 (9 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 22 Jun 2023 (2 years ago) |
Document Number: | P16000025007 |
FEI/EIN Number | 81-1887543 |
Address: | 2199 WEST FLAGLER ST, MIAMI, FL 33135 |
Mail Address: | 2199 WEST FLAGLER ST, MIAMI, FL 33135 |
ZIP code: | 33135 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1134673411 | 2016-08-04 | 2022-10-19 | 2199 W FLAGLER ST, MIAMI, FL, 331351638, US | 2199 W FLAGLER ST, MIAMI, FL, 331351638, US | |||||||||||||||||||
|
Phone | +1 305-643-0550 |
Fax | 3056430551 |
Authorized person
Name | MRS. ALLAN J GUTIERREZ |
Role | OWNER |
Phone | 3056430550 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | No |
Taxonomy Code | 2084P0800X - Psychiatry Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GUTIERREZ, ALLAN | Agent | 2199 WEST FLAGLER ST, MIAMI, FL 33135 |
Name | Role | Address |
---|---|---|
GUITIERREZ, ALLAN | President | 2199 WEST FLAGLER ST, MIAMI, FL 33135 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G17000124823 | MILAGROS RECOVERY & TREATMENT CENTER | EXPIRED | 2017-11-13 | 2022-12-31 | No data | 1891 WEST FLAGLER STREET, MIAMI, FL, 33175 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT | 2023-06-22 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2023-06-22 | GUTIERREZ, ALLAN | No data |
CHANGE OF PRINCIPAL ADDRESS | 2021-07-12 | 2199 WEST FLAGLER ST, MIAMI, FL 33135 | No data |
CHANGE OF MAILING ADDRESS | 2021-07-12 | 2199 WEST FLAGLER ST, MIAMI, FL 33135 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-07-12 | 2199 WEST FLAGLER ST, MIAMI, FL 33135 | No data |
AMENDMENT | 2021-02-22 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-21 |
Amendment | 2023-06-22 |
ANNUAL REPORT | 2023-06-21 |
ANNUAL REPORT | 2022-04-28 |
AMENDED ANNUAL REPORT | 2021-07-12 |
ANNUAL REPORT | 2021-04-01 |
Amendment | 2021-02-22 |
ANNUAL REPORT | 2020-06-30 |
ANNUAL REPORT | 2019-04-30 |
ANNUAL REPORT | 2018-02-20 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State