| Entity Name: | RIVERLAND MEDICAL CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Feb 1993 (32 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Dec 2018 (6 years ago) |
| Document Number: | P93000013665 |
| FEI/EIN Number | 65-0389496 |
| Address: | 2774 W DAVIE BLVD, FT LAUDERDALE, FL 33312 |
| Mail Address: | 2774 W DAVIE BLVD, FT LAUDERDALE, FL 33312 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396883807 | 2007-02-05 | 2024-10-02 | 2774 DAVIE BLVD, FT LAUDERDALE, FL, 333122927, US | 2774 DAVIE BLVD, FT LAUDERDALE, FL, 333122927, US | |||||||||||||||||||||||
|
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| Phone | +1 954-791-5184 |
| Fax | 9547913458 |
Authorized person
| Name | CAROLINA G LUNA |
| Role | OWNER |
| Phone | 9546120293 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 377055900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LUNA, CAROLINA G | Agent | 2774 W DAVIE BLVD, FT LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| LUNA, CAROLINA G | President | 2774 W DAVIE BLVD, FT LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| LUNA, CAROLINA G | Chief Executive Officer | 2774 W DAVIE BLVD, FT LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| LUNA, CAROLINA G | Chief Financial Officer | 2774 W DAVIE BLVD, FT LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| SASSANO, JACQUELINE B | Vice President | 2774 W DAVIE BLVD, FT LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| SASSANO, JACQUELINE B | Treasurer | 2774 W DAVIE BLVD, FT LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| SASSANO, ADRIENNE M | Asst. Secretary | 2774 W DAVIE BLVD, FT LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| SASSANO, ADRIENNE M | Asst. Treasurer | 2774 W DAVIE BLVD, FT LAUDERDALE, FL 33312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-06-14 | LUNA, CAROLINA G | No data |
| REINSTATEMENT | 2018-12-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| REINSTATEMENT | 1996-11-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
| REINSTATEMENT | 1994-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1994-08-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-06-14 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-03-10 |
| ANNUAL REPORT | 2019-04-04 |
| REINSTATEMENT | 2018-12-04 |
| ANNUAL REPORT | 1997-05-14 |
| REINSTATEMENT | 1996-11-01 |
| ANNUAL REPORT | 1995-04-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
