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PALM MEDICAL INSTITUTE INC.

Company Details

Entity Name: PALM MEDICAL INSTITUTE INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 26 Jun 1996 (29 years ago)
Document Number: P96000054338
FEI/EIN Number 650675174
Address: 55 W. 29 ST., HIALEAH, FL, 33012
Mail Address: 55 W. 29 ST., HIALEAH, FL, 33012
ZIP code: 33012
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831130277 2006-06-09 2020-08-22 55 W 29 ST, HIALEAH, FL, 33012, US 55 W 29 ST, HIALEAH, FL, 33012, US

Contacts

Phone +1 305-883-8467
Fax 3058832997

Authorized person

Name BLANCA GONZALEZ
Role PRESIDENT
Phone 3058838467

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
GONZALEZ BLANCA N Agent 55 W 29 ST., HIALEAH, FL, 33012

President

Name Role Address
GONZALEZ BLANCA N President 55 W 29 ST., HIALEAH, FL, 33012

Director

Name Role Address
NIEVES GONZALEZ BLANCA Director 561 SW 73RD AVE, MIAMI, FL, 33144

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
AMENDMENT 1996-07-11 No data No data

Date of last update: 03 Jan 2025

Sources: Florida Department of State