| Entity Name: | FIRST COMMUNITY HEALTH MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Jul 2020 (5 years ago) |
| Document Number: | P20000056388 |
| FEI/EIN Number | 852074235 |
| Address: | 366 S Main Street, BELLE GLADE, FL, 33430, US |
| Mail Address: | 247 NW 120TH ST, NORTH MIAMI, FL, 33168-3524, US |
| ZIP code: | 33430 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700497393 | 2020-08-16 | 2020-08-16 | 4214 EMERALD VIS, LAKE WORTH, FL, 334615382, US | 366 S MAIN ST, BELLE GLADE, FL, 334303428, US | |||||||||||||||
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| Phone | +1 561-317-4550 |
| Fax | 5618474574 |
Authorized person
| Name | MS. MIREILLE VICTOR |
| Role | PRESIDENT |
| Phone | 5613174550 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHARLES MARIE N | Agent | 247 NW 120TH ST, NORTH MIAMI, FL, 331683524 |
| Name | Role | Address |
|---|---|---|
| CHARLES MARIE N | President | 247 NW 120TH ST, NORTH MIAMI, FL, 331683524 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-11-01 | 366 S Main Street, BELLE GLADE, FL 33430 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-01 | CHARLES, MARIE N | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-11-01 | 247 NW 120TH ST, NORTH MIAMI, FL 33168-3524 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-13 | 366 S Main Street, BELLE GLADE, FL 33430 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-11-01 |
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-22 |
| Off/Dir Resignation | 2021-08-05 |
| ANNUAL REPORT | 2021-04-13 |
| Domestic Profit | 2020-07-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
