| Entity Name: | TREE OF LIFE MEDICAL CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Aug 2023 (a year ago) |
| Document Number: | P23000058951 |
| FEI/EIN Number | 93-3059148 |
| Address: | 3625 SW 82 AVE, 306, DORAL, FL, 33166 |
| Mail Address: | 3625 NW 82 AVE, 306, DORAL, FL, 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891562146 | 2023-12-06 | 2024-06-07 | 3625 NW 82ND AVE STE 306, DORAL, FL, 331667601, US | 3625 NW 82ND AVE STE 306, DORAL, FL, 331667601, US | |||||||||||||||||
|
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| Phone | +1 786-337-3708 |
Authorized person
| Name | MAILYN LOPEZ OLIVERA |
| Role | OWNER |
| Phone | 7863373708 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ OLIVERA MAILYN | Agent | 13985 SW 22 ST, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| LOPEZ OLIVERA MAILYN | President | 13985 SW 22 ST, MIAMI, FL, 33175 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| Domestic Profit | 2023-08-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
