Entity Name: | PALMETTO MEDICAL CENTER GROUP, CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 18 Mar 2024 (a year ago) |
Document Number: | P24000020098 |
FEI/EIN Number | 99-2092133 |
Address: | 4471 NW 36 ST Suite 202, MIAMI SPRINGS, FL 33166 |
Mail Address: | 4471 NW 36 ST Suite 202, MIAMI SPRINGS, FL 33166 |
ZIP code: | 33166 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1831923440 | 2024-08-27 | 2024-08-27 | 17220 NW 64TH AVE APT 112, HIALEAH, FL, 330156309, US | 17220 NW 64TH AVE APT 112, HIALEAH, FL, 330156309, US | |||||||||||||
|
Phone | +1 786-259-3984 |
Authorized person
Name | IDALMIS GUERRA |
Role | PRESIDENT |
Phone | 7862593984 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GUERRA, IDALMIS | Agent | 17220 NW 64 AVE, #112, HIALEAH, FL 33015 |
Name | Role | Address |
---|---|---|
GUERRA, IDALMIS | President | 4471 NW 36 ST, SUITE 202 MIAMI SPRINGS, FL 33166 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-10-10 | 4471 NW 36 ST Suite 202, MIAMI SPRINGS, FL 33166 | No data |
CHANGE OF MAILING ADDRESS | 2024-10-10 | 4471 NW 36 ST Suite 202, MIAMI SPRINGS, FL 33166 | No data |
Name | Date |
---|---|
Domestic Profit | 2024-03-18 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State