| Entity Name: | UNITED STATES MEDICAL CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Jul 2024 (6 months ago) |
| Document Number: | P24000050020 |
| Address: | 1995 EAST OAKLAND PARK BLVD, SUITE 305, FORT LAUDERDALE, FL 33306 |
| Mail Address: | 1900 W OAKLAND PARK BLVD, UNIT 9961, FORT LAUDERDALE, FL 33310 |
| ZIP code: | 33306 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942034863 | 2024-09-02 | 2024-09-02 | 1900 W OAKLAND PARK BLVD UNIT 9961, OAKLAND PARK, FL, 333100537, US | 1995 E OAKLAND PARK BLVD STE 305, FORT LAUDERDALE, FL, 333061138, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 954-314-7078 |
| Fax | 8774685361 |
Authorized person
| Name | MR. JOSUE LAROSE |
| Role | PRESIDENT |
| Phone | 9545959121 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LAROSE, JOSUE | Agent | 16000 PINES BLVD, UNIT 0663, PEMBROKE PINES, FL 33082 |
| Name | Role | Address |
|---|---|---|
| LAROSE, JOSUE | President | 16000 PINES BLVD UNIT 0663, PEMBROKE PINES, FL 33082 |
| Name | Role | Address |
|---|---|---|
| LAROSE, JOSUE | Chief Executive Officer | 1900 WEST OAKLAND PARK BLVD. SUITE 9961, FORT LAUDERDALE, FL 33310 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-07-30 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
