| Entity Name: | EBENEZER MEDICAL CENTER ORLANDO CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Mar 2022 (3 years ago) |
| Document Number: | P22000022124 |
| FEI/EIN Number | 88-1444680 |
| Address: | 14308 SW 165TH ST, MIAMI, FL 33177 |
| Mail Address: | 845 E OAK ST, kissimmee, FL 34744 |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265178131 | 2022-05-12 | 2023-01-24 | 845 E OAK STREET, KISSIMMEE, FL, 347445838, US | 845 E OAK STREET, KISSIMMEE, FL, 347445838, US | |||||||||||||||
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| Phone | +1 407-343-1278 |
| Fax | 8884983604 |
Authorized person
| Name | MAITE JIMENEZ |
| Role | OWNER |
| Phone | 3054913969 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JIMENEZ, MAITE | Agent | 14308 SW 165 ST, MIAMI, FL 33177 |
| Name | Role | Address |
|---|---|---|
| JIMENEZ, MAITE | President | 14308 SW 165 ST, MIAMI, FL 33177 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ SANCHEZ, DAYMA | Vice President | 9000 SW 24TH ST, APT 215 MIAMI, FL 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-27 | 14308 SW 165TH ST, MIAMI, FL 33177 | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-26 | 14308 SW 165TH ST, MIAMI, FL 33177 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-09 |
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-30 |
| Domestic Profit | 2022-03-24 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
