| Entity Name: | CTMD MEDICAL CENTER, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Feb 2019 (6 years ago) |
| Document Number: | P19000013948 |
| FEI/EIN Number | 83-3547242 |
| Address: | 2328 S. CONGRESS AVE, UNIT 1-H, PALM SPRING, FL 33406 |
| Mail Address: | 2328 S. CONGRESS AVE, UNIT 1-H, PALM SPRING, FL 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962066951 | 2019-04-25 | 2019-04-25 | 2328 S CONGRESS AVE # UNITE1-H, PALM SPRINGS, FL, 334067618, US | 2328 S CONGRESS AVE # UNITE1-H, PALM SPRINGS, FL, 334067618, US | |||||||||||||||
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| Phone | +1 561-324-7224 |
| Fax | 5612251780 |
Authorized person
| Name | LUIS CASTILLO |
| Role | OWNER |
| Phone | 5613247224 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Parlade, Jaime | Agent | 5975 Sunset Drive, Suite 802, Miami, FL 33143 |
| Name | Role | Address |
|---|---|---|
| CASTILLO, LUIS | President | 2328 S. CONGRESS AVE, PALM SPRING, FL 33406 |
| Name | Role | Address |
|---|---|---|
| TORRES, CARMEN | Vice President | 2328 S. CONGRESS AVE, PALM SPRING, FL 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-27 | 2328 S. CONGRESS AVE, UNIT 1-H, PALM SPRING, FL 33406 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-27 | 2328 S. CONGRESS AVE, UNIT 1-H, PALM SPRING, FL 33406 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-14 | Parlade, Jaime | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-14 | 5975 Sunset Drive, Suite 802, Miami, FL 33143 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-14 |
| Domestic Profit | 2019-02-11 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
