| Entity Name: | SANTOS MEDICAL CENTER COCONUT CREEK INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Aug 2022 (2 years ago) |
| Document Number: | P22000063535 |
| FEI/EIN Number | 88-3950207 |
| Address: | 5861-5891 LYONS ROAD, COCONUT CREEK, FL 33073 |
| Mail Address: | 13780 SW 26TH ST., SUITE 211, MIAMI, FL 33175 |
| ZIP code: | 33073 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427753136 | 2023-04-03 | 2023-04-03 | 13780 SW 26TH ST, MIAMI, FL, 331756302, US | 5861-5891 LYONS ROAD, COCONUT CREEK, FL, 33073, US | |||||||||||||||
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| Phone | +1 786-344-9819 |
| Fax | 3055534596 |
Authorized person
| Name | MRS. ORQUIDEA SANTOS |
| Role | OWNER |
| Phone | 7863449819 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| IVETTE H. LEON, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| SANTOS, ORQUIDEA | President | 13780 SW 26 STREET, SUITE 211, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| SANTOS, ORQUIDEA | Director | 13780 SW 26 STREET, SUITE 211, MIAMI, FL 33175 |
| GUTIERREZ, JOSE L | Director | 13780 SW 26 STREET, SUITE 211, MIAMI, FL 33175 |
| CABRERA, YENISET | Director | 13780 SW 26 STREET, SUITE 211, MIAMI, FL 33175 |
| PEREZ, YULIA | Director | 13780 SW 26 STREET, SUITE 211, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ, JOSE L | Vice President | 13780 SW 26 STREET, SUITE 211, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| CABRERA, YENISET | Treasurer | 13780 SW 26 STREET, SUITE 211, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| PEREZ, YULIA | Secretary | 13780 SW 26 STREET, SUITE 211, MIAMI, FL 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-15 | IVETTE H. LEON, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-15 |
| Domestic Profit | 2022-08-11 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
