| Entity Name: | PLANET HEALTH MEDICAL CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Jul 2019 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 03 Mar 2020 (5 years ago) |
| Document Number: | P19000055580 |
| FEI/EIN Number | 84-2418834 |
| Address: | 10305 NW 41 ST, STE #115, DORAL, FL 33175 |
| Mail Address: | 10305 NW 41 ST, STE #115, DORAL, FL 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942851951 | 2019-09-23 | 2022-04-07 | 10305 NW 41ST ST STE 115, DORAL, FL, 331782975, US | 10305 NW 41ST ST STE 115, DORAL, FL, 331782975, US | |||||||||||||||||
|
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| Phone | +1 305-883-2001 |
Authorized person
| Name | NALANYS CARIDAD ROQUE |
| Role | OWNER |
| Phone | 3055864456 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROQUE, NALANYS C | Agent | 134 E 49 ST, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| ROQUE, NALANYS C | President | 134 E 49 ST, HIALEAH, FL 33013 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000022679 | SARAVIAN MEDICAL GROUP CORP | ACTIVE | 2020-02-20 | 2025-12-31 | No data | 134 EAST 49TH ST, HIALEAH, FL, 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-20 | 10305 NW 41 ST, STE #115, DORAL, FL 33175 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-20 | 10305 NW 41 ST, STE #115, DORAL, FL 33175 | No data |
| AMENDMENT | 2020-03-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-29 | ROQUE, NALANYS C | No data |
| AMENDMENT AND NAME CHANGE | 2019-12-23 | PLANET HEALTH MEDICAL CENTER CORP | No data |
| AMENDMENT | 2019-12-06 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-03-16 |
| Amendment | 2020-03-03 |
| ANNUAL REPORT | 2020-01-29 |
| Amendment and Name Change | 2019-12-23 |
| Amendment | 2019-12-06 |
| Domestic Profit | 2019-07-16 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
