| Entity Name: | SOUTH FLORIDA PULMONARY & CRITICAL CARE ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Oct 1988 (36 years ago) |
| Document Number: | K40172 |
| FEI/EIN Number | 650081041 |
| Address: | 3181 SW 22nd Street, 2ND FLOOR, MIAMI, FL, 33145, US |
| Mail Address: | 3181 SW 22nd Street, Second Floor, MIAMI, FL, 33145, US |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205834710 | 2005-07-08 | 2022-07-21 | 3181 SW 22 STREET, 2 ND FLOOR, MIAMI, FL, 331453216, US | 3181 SW 22 STREET, 2ND FLOOR, MIAMI, FL, 331453216, US | |||||||||||||||||||||||
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| Phone | +1 305-567-1999 |
| Fax | 3055679309 |
Authorized person
| Name | DR. ANDRES A REDONDO |
| Role | PRESIDENT |
| Phone | 3055671999 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 053008500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Schrier Martin TEsq. | Agent | 200 S. BISCAYNE BLVD., MIAMI, FL, 33131 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ-MASIQUES, JORGE | Director | 3181 CORAL WAY, 2ND FLOOR, MIAMI, FL, 33145 |
| REDONDO, ANDRES A. | Director | 3181 CORAL WAY, 2ND FLOOR, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ-MASIQUES, JORGE | President | 3181 CORAL WAY, 2ND FLOOR, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| REDONDO, ANDRES A. | Vice President | 3181 CORAL WAY, 2ND FLOOR, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ DILIAN | Secretary | 3181 CORAL WAY, 2ND FLOOR, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| REDONDO MARIA | Treasurer | 3181 CORAL WAY, 2ND FLOOR, MIAMI, FL, 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CANCEL ADM DISS/REV | 2005-03-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| NAME CHANGE AMENDMENT | 1994-11-15 | SOUTH FLORIDA PULMONARY & CRITICAL CARE ASSOCIATES, P.A. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000510133 | TERMINATED | 1000000755199 | DADE | 2017-08-24 | 2037-08-31 | $ 2,459.32 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
