| Entity Name: | SANTOS MEDICAL CENTER MIAMI LAKES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Aug 2017 (7 years ago) |
| Document Number: | P17000070136 |
| FEI/EIN Number | 82-2564544 |
| Address: | 15910 NW 57TH AVE, MIAMI LAKES, FL, 33014, US |
| Mail Address: | 15910 NW 57TH AVE, MIAMI LAKES, FL, 33014, US |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356045736 | 2023-03-29 | 2023-04-03 | 13780 SW 26TH ST, MIAMI, FL, 331756302, US | 15910 NW 57TH AVE, MIAMI LAKES, FL, 330146704, US | |||||||||||||||||||
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| Phone | +1 786-344-9819 |
| Fax | 3055544596 |
| Phone | +1 305-553-4595 |
| Fax | 3055534596 |
Authorized person
| Name | MRS. ORQUIDEA SANTOS |
| Role | OWNER |
| Phone | 7863449819 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| IVETTE H. LEON, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| SANTOS ORQUIDEA | President | 15910 NW 57TH AVE, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| SANTOS ORQUIDEA | Director | 15910 NW 57TH AVE, MIAMI LAKES, FL, 33014 |
| GUTIERREZ JOSE L | Director | 15910 NW 57TH AVE, MIAMI LAKES, FL, 33014 |
| CABRERA YENISET | Director | 15910 NW 57TH AVE, MIAMI LAKES, FL, 33014 |
| PEREZ YULIA | Director | 15910 NW 57TH AVE, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ JOSE L | Vice President | 15910 NW 57TH AVE, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| CABRERA YENISET | Treasurer | 15910 NW 57TH AVE, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| PEREZ YULIA | Secretary | 15910 NW 57TH AVE, MIAMI LAKES, FL, 33014 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000069252 | SANTOS MEDICAL CENTER MIAMI LAKES | ACTIVE | 2021-05-20 | 2026-12-31 | No data | 5773 NW 158 ST, MIAMI LAKES, FL, 33014 |
| G17000115392 | SANTOS REHABILITATION CENTER | EXPIRED | 2017-10-19 | 2022-12-31 | No data | 15910 NW 57TH AVE, MIAMI LAKES, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-15 | Ivette H. Leon, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-15 | 13687 SW 26 Street, Miami, FL 33175 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-27 |
| Domestic Profit | 2017-08-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
