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PALMETTO MEDICAL CENTER GROUP, CORP

Company Details

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

National Provider Identifier

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

Contacts

Phone +1 786-259-3984

Authorized person

Name IDALMIS GUERRA
Role PRESIDENT
Phone 7862593984

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
GUERRA, IDALMIS Agent 17220 NW 64 AVE, #112, HIALEAH, FL 33015

President

Name Role Address
GUERRA, IDALMIS President 4471 NW 36 ST, SUITE 202 MIAMI SPRINGS, FL 33166

Events

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

Documents

Name Date
Domestic Profit 2024-03-18

Date of last update: 08 Feb 2025

Sources: Florida Department of State