| Entity Name: | DALIA MEDICAL CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 May 2023 (2 years ago) |
| Document Number: | P23000039273 |
| FEI/EIN Number | 93-1505595 |
| Address: | 10201 Hammocks Boulevard, MIAMI, FL, 33196, US |
| Mail Address: | 10201 Hammocks Boulevard, MIAMI, FL, 33196, US |
| ZIP code: | 33196 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548095011 | 2024-09-04 | 2024-09-04 | 10201 HAMMOCKS BLVD STE 122, MIAMI, FL, 331963783, US | 10201 HAMMOCKS BLVD STE 122, MIAMI, FL, 331963783, US | |||||||||||||||||||||||
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| Phone | +1 786-701-8702 |
| Fax | 3053972669 |
Authorized person
| Name | OAM PEREZ |
| Role | CEO |
| Phone | 7867018702 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PEREZ OAM | Agent | 10201 Hammocks Boulevard, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| PEREZ OAM | Chief Executive Officer | 10201 Hammocks Boulevard, MIAMI, FL, 33196 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 10201 Hammocks Boulevard, Suite 122, MIAMI, FL 33196 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-29 | 10201 Hammocks Boulevard, Suite 122, MIAMI, FL 33196 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-29 | PEREZ, OAM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 10201 Hammocks Boulevard, Suite 122, MIAMI, FL 33196 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| Domestic Profit | 2023-05-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
