| Entity Name: | ASCENCION MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Jun 2020 (5 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 29 Sep 2020 (4 years ago) |
| Document Number: | P20000043331 |
| FEI/EIN Number | 85-1447631 |
| Address: | 1060 SW 67 AVE, MIAMI, FL 33144 |
| Mail Address: | 7440 N Kendall Dr, Apt 3113, MIAMI, FL 33156 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134717036 | 2021-01-06 | 2021-09-22 | 7440 N KENDALL DR APT 3113, MIAMI, FL, 331568073, US | 1060 NW 67 AVE, MIAMI, FL, 33144, US | |||||||||||||||||
|
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| Phone | +1 305-807-0791 |
Authorized person
| Name | MR. GUIDO LOPEZ |
| Role | ADMINISTRATOR |
| Phone | 7863532573 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LOPEZ, GUIDO | Agent | 1060 SW 67 AVE, MIAMI, FL 33144 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, GUIDO | President | 1060 SW 67 AVE, MIAMI, FL 33144 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000129284 | UNIVIDA-ASCENCION MEDICAL CENTER | ACTIVE | 2022-10-16 | 2027-12-31 | No data | 7440 N KENDALL DR, APT 3113, MIAMI, FL, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-12 | 1060 SW 67 AVE, MIAMI, FL 33144 | No data |
| AMENDMENT | 2020-09-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-29 | 1060 SW 67 AVE, MIAMI, FL 33144 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-02-20 |
| Amendment | 2020-09-29 |
| Domestic Profit | 2020-06-15 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
