| Entity Name: | BROWN, DAVILA, KHAN, MAZA, RUIZ & WHIRLEY-DIAZ, M.D.'S, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Mar 1962 (63 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 28 Jun 2000 (25 years ago) |
| Document Number: | 600117 |
| FEI/EIN Number | 59-0968885 |
| Address: | 7600 S. RED ROAD, SUITE 229, SOUTH MIAMI, FL 33143 |
| Mail Address: | 7600 S. RED ROAD, SUITE 229, SOUTH MIAMI, FL 33143 |
| ZIP code: | 33143 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760463269 | 2005-11-10 | 2019-09-13 | 7600 S RED RD STE 229, SOUTH MIAMI, FL, 331435408, US | 5000 UNIVERSITY DR, CORAL GABLES, FL, 331462008, US | |||||||||||||||||||||||||||
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| Phone | +1 305-448-9018 |
| Fax | 3054481895 |
Authorized person
| Name | MRS. CECY MELO |
| Role | OFFICE MANAGER |
| Phone | 3054489018 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | B/C & B/S OF FL |
| Number | 00886 |
| State | FL |
| Issuer | MEDICAID |
| Number | 056947000 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOCTORS ANESTHESIA ASSOCIATES 401(K) PLAN | 2023 | 590968885 | 2024-08-29 | BROWN, DAVILA, KHAN, MAZA, RUIZ & WHIRLEY-DIAZ, M.D.'S, P.A. | 18 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-29 |
| Name of individual signing | JOSE DAVILA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1963-04-26 |
| Business code | 621111 |
| Sponsor’s telephone number | 3054489018 |
| Plan sponsor’s address | 7600 S RED ROAD, SUITE 229, SOUTH MIAMI, FL, 33143 |
Signature of
| Role | Plan administrator |
| Date | 2024-12-13 |
| Name of individual signing | JOSE DAVILA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1963-04-26 |
| Business code | 621111 |
| Sponsor’s telephone number | 3054489018 |
| Plan sponsor’s address | 7600 S RED ROAD, SUITE 229, SOUTH MIAMI, FL, 33143 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-12 |
| Name of individual signing | JOSE DAVILA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DAVILA, JOSE J | Agent | 7600 S. RED ROAD, SUITE 229, SOUTH MIAMI, FL 33143 |
| Name | Role | Address |
|---|---|---|
| DAVILA, JOSE J | Director | 7600 S. RED ROAD, SUITE 229 SOUTH MIAMI, FL 33143 |
| MAZA, JORGE L | Director | 7600 S. RED ROAD, SUITE 229 SOUTH MIAMI, FL 33143 |
| HAZDAY, NELSON | Director | 7600 S. RED ROAD, SUITE 229 SOUTH MIAMI, FL 33143 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000022575 | DOCTORS ANESTHESIA ASSOCIATES | ACTIVE | 2018-02-12 | 2028-12-31 | No data | 7600 S RED RD, STE 229, SOUTH MIAMI, FL, 33143 |
| G92366005941 | DOCTORS OF ANESTHESIA | EXPIRED | 1992-12-31 | 1997-12-31 | 1993-03-24 | 2701 LE JEUNE ROAD, SOUTH, SUITE 409, CORAL GABLES, FL, 33134-5892, US |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-26 | 7600 S. RED ROAD, SUITE 229, SOUTH MIAMI, FL 33143 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-26 | 7600 S. RED ROAD, SUITE 229, SOUTH MIAMI, FL 33143 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-26 | 7600 S. RED ROAD, SUITE 229, SOUTH MIAMI, FL 33143 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-10 | DAVILA, JOSE J | No data |
| NAME CHANGE AMENDMENT | 2000-06-28 | BROWN, DAVILA, KHAN, MAZA, RUIZ & WHIRLEY-DIAZ, M.D.'S, P.A. | No data |
| NAME CHANGE AMENDMENT | 1999-08-12 | BROWN, DAVILA, KHAN, RUIZ, WEINSTEIN & WHIRLEY-DIAZ M.D.'S, P.A. | No data |
| NAME CHANGE AMENDMENT | 1994-12-28 | BROWN, DAVILA, KHAN, RODRIGUEZ, RUIZ, WEINSTEIN, WHIRLEY-DIAZ & DE MOYA, M.D.'S, P.A. | No data |
| NAME CHANGE AMENDMENT | 1993-01-22 | BROWN, DAVILA, KHAN, RODRIGUEZ, RUIZ, WEINSTEIN & WHIRLEY-DIAZ, M.D.'S, P.A. | No data |
| NAME CHANGE AMENDMENT | 1989-09-14 | KHAN, HYAMS, BROWN & WEINSTEIN, P.A. | No data |
| NAME CHANGE AMENDMENT | 1987-01-30 | NOGUEIRAS, KHAN, HYAMS, BROWN, & WEINSTEIN, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-02-02 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
