| Entity Name: | BISCAYNE PARK MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Sep 1996 (28 years ago) |
| Document Number: | P96000073146 |
| FEI/EIN Number | 650725419 |
| Address: | 2219 HOLLYWOOD BLVD., SUITE 101, HOLLYWOOD, FL, 33020, US |
| Mail Address: | 2219 HOLLYWOOD BLVD., SUITE 101, HOLLYWOOD, FL, 33020, US |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871788380 | 2007-09-07 | 2014-04-25 | 11900 W DIXIE HWY, NORTH MIAMI, FL, 331616110, US | 11900 WEST DXIE HGIHWAY, N. MIAMI, FL, 33161, US | |||||||||||||||
|
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| Phone | +1 305-685-8899 |
| Fax | 3058991325 |
Authorized person
| Name | MANUEL IRIBAR |
| Role | PRESIDIENT |
| Phone | 9549262900 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COFINO PEDRO A | Agent | 407 LINCOLN ROAD, MIAMI BEACH, FL, 33139 |
| Name | Role | Address |
|---|---|---|
| IRIBAR MANUEL M | Director | 11900 W. DIXIE HIGHWAY, MIAMI, FL, 33161 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| AMENDMENT | 2018-04-04 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
