| Entity Name: | WEST 49TH STREET E.R. PHYSICIAN CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WEST 49TH STREET E.R. PHYSICIAN CORP. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 28 Jun 1990 (35 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | L84026 |
| FEI/EIN Number |
650207115
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1501 SW 42 AVENUE, CORAL GABLES, FL, 33134 |
| Mail Address: | 1501 SW 42 AVENUE, P O BOX 14 1156, CORAL GABLES, FL, 33134 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922128826 | 2007-04-02 | 2012-10-29 | 1475 W 49TH ST, HIALEAH, FL, 330123222, US | 1475 W 49TH ST, HIALEAH, FL, 330123222, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-558-2500 |
| Fax | 3058269002 |
Authorized person
| Name | MR. MARK EARLY |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 3058244703 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 207PE0004X - Emergency Medical Services (Emergency Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 059554300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FORMAN MAX | President | 1501 SW LEJEUNE ROAD, CORAL GABLES, FL, 33134 |
| FORMAN MAX | Agent | 1501 SW LEJEUNE ROAD, CORAL GABLES, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2012-01-04 | FORMAN, MAX | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-06 | 1501 SW 42 AVENUE, CORAL GABLES, FL 33134 | - |
| CHANGE OF MAILING ADDRESS | 2009-01-06 | 1501 SW 42 AVENUE, CORAL GABLES, FL 33134 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2003-12-23 | 1501 SW LEJEUNE ROAD, CORAL GABLES, FL 33134 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-01-03 |
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-01-06 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-01-06 |
| ANNUAL REPORT | 2008-01-07 |
| ANNUAL REPORT | 2007-01-17 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
