| Entity Name: | EL SOL MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Oct 2018 (6 years ago) |
| Document Number: | P18000090586 |
| FEI/EIN Number | 83-2427204 |
| Address: | 2511 W. Virginia Ave, Tampa, FL, 33607, US |
| Mail Address: | 2511 W. Virginia Ave, Tampa, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154936904 | 2020-09-09 | 2021-05-10 | 2511 W VIRGINIA AVE, TAMPA, FL, 336076310, US | 2511 W VIRGINIA AVE, TAMPA, FL, 336076310, US | |||||||||||||||||||||
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| Phone | +1 813-350-0051 |
| Fax | 8133500053 |
Authorized person
| Name | MR. JULIO MARTINEZ CARDENAS |
| Role | AUTHORIZED OFFICAL |
| Phone | 8135466693 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ACHA LICENSE |
| Number | HCC12060 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOUSE OTISHIA | Agent | 2511 W. Virginia Ave, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| HOUSE OTISHIA | President | 2511 W. Virginia Ave, Tampa, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-05 | HOUSE, OTISHIA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-01 | 2511 W. Virginia Ave, Tampa, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-01 | 2511 W. Virginia Ave, Tampa, FL 33607 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-01 | 2511 W. Virginia Ave, Tampa, FL 33607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-05 |
| AMENDED ANNUAL REPORT | 2023-11-14 |
| ANNUAL REPORT | 2023-02-01 |
| AMENDED ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-02-01 |
| AMENDED ANNUAL REPORT | 2020-07-31 |
| ANNUAL REPORT | 2020-01-23 |
| AMENDED ANNUAL REPORT | 2019-06-20 |
| ANNUAL REPORT | 2019-06-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
