| Entity Name: | FLORIDA ARTHRITIS MEDICAL CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Jun 2024 (8 months ago) |
| Document Number: | P24000040952 |
| Address: | 747 PONCE DE LEON BLVD, 607, CORAL GABLES, FL 33134 |
| Mail Address: | 747 PONCE DE LEON BLVD, 607, CORAL GABLES, FL 33134 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902632920 | 2024-09-09 | 2024-09-09 | 747 PONCE DE LEON BLVD STE 607, CORAL GABLES, FL, 331342074, US | 747 PONCE DE LEON BLVD STE 607, CORAL GABLES, FL, 331342074, US | |||||||||||||||
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| Phone | +1 786-899-0771 |
| Fax | 7868990775 |
Authorized person
| Name | THALIA LOPEZ |
| Role | SOLE PROPRIETOR |
| Phone | 7868990771 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ, THALIA | Agent | 747 PONCE DE LEON BLVD, STE 607, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, THALIA | President | 747 PONCE DE LEON BLVD STE607, CORAL GABLES, FL 33134 |
| JORGE GOMEZ, MICHAEL | President | 747 PONCE DE LEON BLVD STE 607, CORAL GABLES, FL 33134 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-06-14 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
