| Entity Name: | JHC MD INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Mar 2023 (2 years ago) |
| Document Number: | P23000023916 |
| FEI/EIN Number | 92-3286680 |
| Address: | 18217 SW 148 AVENUE RD, MIAMI, FL 33187 |
| Mail Address: | 18217 SW 148 AVENUE RD, MIAMI, FL 33187 |
| ZIP code: | 33187 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770273070 | 2023-05-10 | 2023-05-10 | PO BOX 960183, MIAMI, FL, 332960183, US | 3663 S MIAMI AVE, MIAMI, FL, 331334253, US | |||||||||||||||||||
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| Phone | +1 305-854-4400 |
Authorized person
| Name | JORGE HERNANDEZ CANCIOBELLO |
| Role | MD/OWNER |
| Phone | 7875659062 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 116203500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, JORGE | Agent | 18217 SW 148 AVENUE RD, MIAMI, FL 33187 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, JORGE | President | 18217 SW 148 AVENUE RD, MIAMI, FL 33187 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-14 | 18217 SW 148 AVENUE RD, MIAMI, FL 33187 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-14 | 18217 SW 148 AVENUE RD, MIAMI, FL 33187 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-14 | 18217 SW 148 AVENUE RD, MIAMI, FL 33187 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-14 |
| Domestic Profit | 2023-03-22 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
