| Entity Name: | HAMMOCK MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Sep 1993 (31 years ago) |
| Document Number: | P93000065333 |
| FEI/EIN Number | 650438464 |
| Address: | 15122 S.W. 72ND STREET, MIAMI, FL, 33193, US |
| Mail Address: | 15122 S.W. 72ND STREET, MIAMI, FL, 33193, US |
| ZIP code: | 33193 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932139755 | 2006-07-04 | 2008-03-17 | 15122 SUNSET DR, MIAMI, FL, 331933228, US | 15122 SUNSET DR, MIAMI, FL, 331933228, US | |||||||||||||||||||||||
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| Phone | +1 305-383-3848 |
| Fax | 3053837601 |
Authorized person
| Name | MAGALI M ISERN PEREZ |
| Role | PRESIDENT |
| Phone | 3053833848 |
Taxonomy
| Taxonomy Code | 170100000X - Ph.D. Medical Genetics |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 373907400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ISERN-PEREZ MAGALI M | Agent | 15122 S.W. 72ND STREET, MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| ROSALES JULIO C | Manager | 15751 SW 46 ST, MIAMI, FL, 33185 |
| Name | Role | Address |
|---|---|---|
| ROSALES JULIO C | Director | 15751 SW 46 ST, MIAMI, FL, 33185 |
| Name | Role | Address |
|---|---|---|
| VALDES RICARDO I | Treasurer | 15122 S.W. 72ND STREET, MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| VALDES DAISY | Vice President | 15122 S.W. 72ND STREET, MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| ISERN PEREZ MAGALI | President | 15122 S.W. 72ND STREET, MIAMI, FL, 33193 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2017-06-23 | No data | No data |
| AMENDMENT | 2015-02-09 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
