| Entity Name: | LINE MEDICAL CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Sep 2017 (7 years ago) |
| Document Number: | P17000077233 |
| FEI/EIN Number | 82-2913137 |
| Address: | 9050 PINES BLVD, PEMBROKE PINES, FL, 33024, US |
| Mail Address: | 9050 PINES BLVD, PEMBROKE PINES, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396258083 | 2017-11-16 | 2017-11-16 | 9050 PINES BLVD STE 190, PEMBROKE PINES, FL, 330246445, US | 9050 PINES BLVD STE 190, PEMBROKE PINES, FL, 330246445, US | |||||||||||||||||||
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| Phone | +1 954-744-4608 |
| Fax | 9547444684 |
Authorized person
| Name | BARBARA C FERNANDEZ |
| Role | PRESIDENT |
| Phone | 9547444608 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARIDAD FERNANDEZ BARBARA | Agent | 9050 PINES BLVD, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ BARBARA C | President | 9050 PINES BLVD, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-12 | 9050 PINES BLVD, Suite 380, PEMBROKE PINES, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-12 | 9050 PINES BLVD, Suite 380, PEMBROKE PINES, FL 33024 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-12 | 9050 PINES BLVD, Suite 380, PEMBROKE PINES, FL 33024 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-03-07 |
| ANNUAL REPORT | 2020-01-10 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-04 |
| Domestic Profit | 2017-09-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
