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LA FAMILIA MEDICAL CENTER INC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
GUTIERREZ, ALLAN Agent 2199 WEST FLAGLER ST, MIAMI, FL 33135

President

Name Role Address
GUITIERREZ, ALLAN President 2199 WEST FLAGLER ST, MIAMI, FL 33135

Fictitious Names

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

Events

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

Documents

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