| Entity Name: | OPTIMAL HEALTH MEDICAL CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Jan 2017 (8 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 05 Sep 2024 (5 months ago) |
| Document Number: | P17000002406 |
| FEI/EIN Number | 81-5275927 |
| Address: | 17235 NW 27TH AVE, MIAMI GARDENS, FL 33056 |
| Mail Address: | 17235 NW 27TH AVE, MIAMI GARDENS, FL 33056 |
| ZIP code: | 33056 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194296954 | 2018-12-05 | 2023-05-23 | 17235 NW 27TH AVE, MIAMI GARDENS, FL, 330564418, US | 17235 NW 27TH AVE, MIAMI GARDENS, FL, 330564418, US | |||||||||||||
|
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| Phone | +1 305-705-4024 |
Authorized person
| Name | ABRAHAM HOLLIST |
| Role | CEO |
| Phone | 3054653203 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Hunter Johnson, Stephen, Esq. | Agent | 1211 Brickell Ave, 19th Floor, MIAMI, FL 33131 |
| Name | Role | Address |
|---|---|---|
| MCCRAY, YOLANDE | Chief Compliance Officer | 690 NW 72ND TERRACE, HOLLYWOOD, FL 33024 |
| Name | Role | Address |
|---|---|---|
| HOLLIST, ABRAHAM | Chief Executive Officer | 3261 CRYSTAL WAY, MIRAMAR, FL 33025 |
| Name | Role | Address |
|---|---|---|
| HARRIS HOLLIST, KRISTEN | Chief Operating Officer | 3261 CRYSTAL WAY, MIRAMAR, FL 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-09-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-05-01 | Hunter Johnson, Stephen, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-01 | 1211 Brickell Ave, 19th Floor, MIAMI, FL 33131 | No data |
| AMENDMENT | 2017-03-03 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2024-09-05 |
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-09-13 |
| ANNUAL REPORT | 2020-01-12 |
| Off/Dir Resignation | 2019-12-10 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-04-29 |
| Amendment | 2017-03-03 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
