Provider Profile
PLANET HEALTH MEDICAL CENTER CORP
Health Care Clinic
FACILITY PROFILE
Street Address
- 10305 NW 41 ST STE 115
DORAL, FL 33178
County: Miami-Dade - Phone: (305) 883-2001
Mailing Address
- 10305 NW 415TH ST STE 115
DORAL, FL 33178
County: Miami-Dade - Phone: (305) 883-2001
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | ||||||
| Medical or Clinic Director: | ARLES PERDOMO | ||||||
| Administrator: | NALANYS C ROQUE | ||||||
| Owner/Licensee: | PLANET HEALTH MEDICAL CENTER CORP | ||||||
| Owner/Licensee Since: | 8/6/2019 | ||||||
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| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 12762 | ||||||
| AHCA Field Office: | 11 | ||||||
| License Number: | 13314 | ||||||
| Current License Effective: | 3/17/2024 | ||||||
| Current License Expires: | 3/16/2026 | ||||||
| License Status: | LICENSED | ||||||
Services/Characteristics
| Specialty: | PIP Recipient |
| Type: | Fixed Location |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.