| Entity Name: | PINES MEDICAL CLINIC.INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Feb 2024 (a year ago) |
| Document Number: | P24000015019 |
| FEI/EIN Number | 99-1674221 |
| Address: | 8240 PINES BLVD, PEMBROKE PINES, FL 33024 |
| Mail Address: | 8240 PINES BLVD, PEMBROKE PINES, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326895517 | 2024-05-04 | 2024-09-05 | 8240 PINES BLVD, PEMBROKE PINES, FL, 330246712, US | 8240 PINES BLVD, PEMBROKE PINES, FL, 330246712, US | |||||||||||||
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| Phone | +1 954-251-1710 |
Authorized person
| Name | CARLOS LUIS PULIDO GALLUES |
| Role | PRESIDENT |
| Phone | 9542511710 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PULIDO GALLUES, CARLOS LUIS | Agent | 8240 PINES BLVD, PEMBROKE PINES, FL 33024 |
| Name | Role | Address |
|---|---|---|
| PULIDO GALLUES, CARLOS LUIS | President | 8240 PINES BLVD, PEMBROKE PINES, FL 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-18 | 8240 PINES BLVD, PEMBROKE PINES, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-18 | 8240 PINES BLVD, PEMBROKE PINES, FL 33024 | No data |
| REGISTERED AGENT NAME CHANGED | 2025-01-18 | PULIDO GALLUES, CARLOS LUIS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-18 | 8240 PINES BLVD, PEMBROKE PINES, FL 33024 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2025-01-18 |
| ANNUAL REPORT | 2025-01-07 |
| Domestic Profit | 2024-02-26 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
