| Entity Name: | SALUTEM MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Mar 2022 (3 years ago) |
| Document Number: | P22000025132 |
| FEI/EIN Number | 88-2210820 |
| Address: | 760 NW 107TH AVE STE 300A, MIAMI, FL 33172 |
| Mail Address: | 760 NW 107TH AVE STE 300A, MIAMI, FL 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457082083 | 2022-06-23 | 2024-04-22 | 760 NW 107TH AVE STE 300, MIAMI, FL, 331723157, US | 760 NW 107TH AVE STE 300A, MIAMI, FL, 331723157, US | |||||||||||||||||||||
|
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| Phone | +1 305-387-7740 |
Authorized person
| Name | CARLOS RODRIGUEZ |
| Role | CEO |
| Phone | 7864526858 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CARLOS | Agent | 760 NW 107TH AVE STE 300A, MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CARLOS | Treasurer | 760 NW 107TH AVE STE 300A, MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CARLOS | Secretary | 760 NW 107TH AVE STE 300A, MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CARLOS | Vice President | 760 NW 107TH AVE STE 300A, MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CARLOS | Director | 760 NW 107TH AVE STE 300A, MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CARLOS | President | 760 NW 107TH AVE STE 300A, MIAMI, FL 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-20 | RODRIGUEZ, CARLOS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-20 | 760 NW 107TH AVE STE 300A, MIAMI, FL 33172 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-04-20 |
| Domestic Profit | 2022-03-21 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
