| Entity Name: | SOUTH FLORIDA FAMILY MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SOUTH FLORIDA FAMILY MEDICAL CENTER LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 15 Mar 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Aug 2019 (6 years ago) |
| Document Number: | L16000052985 |
| FEI/EIN Number |
812230421
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 302 N.W. 179th Ave., Pembroke Pines, FL, 33029, US |
| Mail Address: | 302 N.W. 179th Ave., Pembroke Pines, FL, 33029, US |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366896904 | 2016-04-20 | 2019-08-15 | 7369 SHERIDAN ST STE 100, HOLLYWOOD, FL, 330242776, US | 7369 SHERIDAN ST STE 100, HOLLYWOOD, FL, 33024, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 754-837-8870 |
| Fax | 7548889688 |
Authorized person
| Name | JORGE GARCIA |
| Role | CREDENTIALING DIRECTOR |
| Phone | 3056060337 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME122433 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016028700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Hidalgo Ausberto MD | Managing Member | 302 N.W. 179th Ave., Pembroke Pines, FL, 33029 |
| Hidalgo Ausberto MD | Agent | 302 N.W. 179th Ave., Pembroke Pines, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-02 | 302 N.W. 179th Ave., Suite103, Pembroke Pines, FL 33029 | - |
| CHANGE OF MAILING ADDRESS | 2024-03-02 | 302 N.W. 179th Ave., Suite103, Pembroke Pines, FL 33029 | - |
| REGISTERED AGENT NAME CHANGED | 2024-03-02 | Hidalgo, Ausberto, MD | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-02 | 302 N.W. 179th Ave., Suite103, Pembroke Pines, FL 33029 | - |
| REINSTATEMENT | 2019-08-02 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-06-10 |
| REINSTATEMENT | 2019-08-02 |
| Florida Limited Liability | 2016-03-15 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
