| Entity Name: | UNIVERSAL MEDICAL INSTITUTE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 19 Mar 2020 (5 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 10 Dec 2021 (3 years ago) |
| Document Number: | N20000003209 |
| FEI/EIN Number | 85-0504960 |
| Address: | 700 NW 183RD STREET, SUITE B, MIAMI, FL, 33169, US |
| Mail Address: | 700 NW 183RD STREET, SUITE B, MIAMI, FL, 33169, US |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639750458 | 2021-04-15 | 2023-03-08 | 700 NW 183RD ST STE B, MIAMI, FL, 331694250, US | 700 NW 183RD ST STE B, MIAMI, FL, 331694250, US | |||||||||||||||||||
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| Phone | +1 305-974-5995 |
| Fax | 3059745957 |
Authorized person
| Name | DIMA SAMRA |
| Role | CLINICAL OPERATIONS COORDINATOR |
| Phone | 3059745995 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| QURESHI ZAFAR | Agent | 700 NW 183RD STREET, MIAMI, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| ZAFAR SYED | Director | 4900 SW 74 CT, MIAMI, FL, 33155 |
| QURESHI ZAFAR | Director | 700 NW 183RD STREET, MIAMI, FL, 33169 |
| FASIHI SADRUL | Director | 5931 SW 46 STREET, MIAMI, FL, 33165 |
| QURESHI UZMA | Director | 5900 SW 195TH TERR, FT LAUDERDALE, FL, 33332 |
| SIDDIQUI SADIA | Director | 7941 NW 66 TERRACE, PARKLAND, FL, 33067 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000004999 | UMC FREE CLINIC | ACTIVE | 2021-01-11 | 2026-12-31 | No data | 99 NW 183RD ST, SUITE 133A, MIAMI, FL, 33169 |
| G20000062598 | UNIVERSAL MEDICAL CLINIC | ACTIVE | 2020-06-04 | 2025-12-31 | No data | 99 NW 183RD STREET SUITE 133A, MIAMI, FL, 33169 |
| G20000038879 | UMI COMMUNITYCARE CLINIC | ACTIVE | 2020-04-06 | 2025-12-31 | No data | 99 NW 183RD STREET, SUITE133A, MIAMI, FL, 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-09 | QURESHI, ZAFAR | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-14 | 700 NW 183RD STREET, SUITE B, MIAMI, FL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-14 | 700 NW 183RD STREET, SUITE B, MIAMI, FL 33169 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-14 | 700 NW 183RD STREET, SUITE B, MIAMI, FL 33169 | No data |
| AMENDMENT | 2021-12-10 | No data | No data |
| AMENDMENT | 2021-07-12 | No data | No data |
| AMENDMENT | 2020-05-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-09 |
| AMENDED ANNUAL REPORT | 2022-10-14 |
| ANNUAL REPORT | 2022-03-03 |
| Amendment | 2021-12-10 |
| Amendment | 2021-07-12 |
| ANNUAL REPORT | 2021-02-01 |
| Amendment | 2020-05-29 |
| Domestic Non-Profit | 2020-03-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
