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LOS AMIGOS MEDICAL CENTER, CORP

Company Details

Entity Name: LOS AMIGOS MEDICAL CENTER, CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 21 Jan 2022 (3 years ago)
Document Number: P22000007628
FEI/EIN Number 88-0529384
Address: 705 EAST 8TH AVE, HIELEAH, FL 33010
Mail Address: 705 EAST 8TH AVE, HIELEAH, FL 33010
ZIP code: 33010
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346969516 2022-08-23 2022-08-23 705 E 8TH AVE STE 101, HIALEAH, FL, 330104613, US 705 E 8TH AVE STE 101, HIALEAH, FL, 330104613, US

Contacts

Phone +1 305-454-8395
Fax 3054020322

Authorized person

Name MR. JULIO Y ALONSO GARCIA
Role OFFICER
Phone 3054548395

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
ALONSO, JULIO Y Agent 2387 W 68 ST, 602, HIELEAH, FL 33016

President

Name Role Address
ALONSO, JULIO Y President 8788 NW 157 TERRA, MIAMI LAKES, FL 33018

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-08-30 705 EAST 8TH AVE, HIELEAH, FL 33010 No data
CHANGE OF MAILING ADDRESS 2022-08-30 705 EAST 8TH AVE, HIELEAH, FL 33010 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-18
Domestic Profit 2022-01-21

Date of last update: 12 Feb 2025

Sources: Florida Department of State