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SUPERIOR HEALTH MEDICAL CENTER CORP

Company Details

Entity Name: SUPERIOR HEALTH MEDICAL CENTER CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 08 Jun 2020 (5 years ago)
Last Event: AMENDMENT
Event Date Filed: 02 Jun 2023 (2 years ago)
Document Number: P20000041628
FEI/EIN Number 85-1346166
Address: 6175 NW 167TH ST UNIT #G22, HIALEAH, FL 33015
Mail Address: 6175 NW 167TH ST UNIT #G22, HIALEAH, FL 33015
ZIP code: 33015
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134746993 2020-06-28 2020-06-28 11300 NW 87TH CT STE 120, HIALEAH GARDENS, FL, 330184518, US 11300 NW 87TH CT STE 120, HIALEAH GARDENS, FL, 330184518, US

Contacts

Phone +1 305-603-7626

Authorized person

Name YASMIEL R BORRELL RIVERO
Role PRESIDENT & CEO
Phone 3056037626

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
YASMIEL RAUL BORRELL RIVERO Agent 6175 NW 167TH ST UNIT #G22, HIALEAH, FL 33015

President

Name Role Address
YASMIEL RAUL BORRELL RIVERO President 6175 NW 167TH ST UNIT #G22, HIALEAH, FL 33015

Events

Event Type Filed Date Value Description
AMENDMENT 2023-06-02 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-06-02 6175 NW 167TH ST UNIT #G22, HIALEAH, FL 33015 No data
CHANGE OF MAILING ADDRESS 2023-06-02 6175 NW 167TH ST UNIT #G22, HIALEAH, FL 33015 No data
REGISTERED AGENT ADDRESS CHANGED 2023-06-02 6175 NW 167TH ST UNIT #G22, HIALEAH, FL 33015 No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
Amendment 2023-06-02
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-03-12
Domestic Profit 2020-06-08

Date of last update: 15 Feb 2025

Sources: Florida Department of State