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  5. HEALTH CHOICE NETWORK OF FLORIDA, INC.

HEALTH CHOICE NETWORK OF FLORIDA, INC. - Florida Company Profile

Company Details

Entity Name: HEALTH CHOICE NETWORK OF FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
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: 28 Jun 1994 (31 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 04 Aug 2009 (16 years ago)
Document Number: N94000003230
FEI/EIN Number 650504316

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 9064 N.W. 13 TERRACE, DORAL, FL, 33172
Mail Address: 9064 N.W. 13 TERRACE, DORAL, FL, 33172
ZIP code: 33172
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689322547 2022-03-10 2022-03-10 9064 NW 13TH TER, DORAL, FL, 331722907, US 9064 NW 13TH TER, DORAL, FL, 331722907, US

Contacts
Phone +1 305-418-9646

Authorized person
Name BLANCA MARGARITA OLLET
Role COO
Phone 7862556633

Taxonomy
Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GUARDIAN DENTAL 2010 650504316 2012-01-26 HEALTH CHOICE NETWORK OF FLORIDA, INC 160
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2010-09-01
Business code 541519
Sponsor’s telephone number 3055991015
Plan sponsor’s mailing address 9064 NW 13 TH TERRACE, MIAMI, FL, 33172
Plan sponsor’s address 9064 NW 13 TH TERRACE, MIAMI, FL, 33172

Plan administrator’s name and address
Administrator’s EIN 650504316
Plan administrator’s name HEALTH CHOICE NETWORK OF FLORIDA, INC
Plan administrator’s address 9064 NW 13 TH TERRACE, MIAMI, FL, 33172
Administrator’s telephone number 3055991015

Number of participants as of the end of the plan year
Active participants 160
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2012-01-26
Name of individual signing RUSSELL HUZIOR
Valid signature Filed with authorized/valid electronic signature
403B THRIFT PLAN OF HEALTH CHOICE NETWORK OF FLORIDA, INC 2009 650504316 2012-02-09 HEALTH CHOICE NETWORK OF FLORIDA, INC -
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-10-01
Business code 621610
Sponsor’s telephone number 3055991015
Plan sponsor’s mailing address 9064 NW13TH TERRACE, MIAMI, FL, 33172
Plan sponsor’s address 9064 NW13TH TERRACE, MIAMI, FL, 33172

Plan administrator’s name and address
Administrator’s EIN 650504316
Plan administrator’s name HEALTH CHOICE NETWORK OF FLORIDA, INC
Plan administrator’s address 9064 NW13TERRACE, MIAMI, FL, 33172
Administrator’s telephone number 3055991015

Number of participants as of the end of the plan year
Active participants 123
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 32
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 155
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 9

Signature of
Role Plan administrator
Date 2012-02-09
Name of individual signing RUSSELL HUZIOR
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Romillo Alejandro Chief Executive Officer 9064 N.W. 13 TERRACE, DORAL, FL, 33172
Perez Claudio Vice Chairman 9064 N.W. 13 TERRACE, DORAL, FL, 33172
NEASMAN ANNIE Secretary 9064 N.W. 13 TERRACE, DORAL, FL, 33172
Dorso Elodie Chairman 9064 N.W. 13 TERRACE, DORAL, FL, 33172
Hoback Sherry Treasurer 9064 N.W. 13 TERRACE, DORAL, FL, 33172
Romillo Alejandro Agent 9064 N.W. 13 TERRACE, DORAL, FL, 33172

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000022364 SOUTH FLORIDA REGIONAL EXTENSION CENTER EXPIRED 2010-03-08 2015-12-31 - 9064 NW 13 TERRACE, MIAMI, FL, 33172

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2016-04-26 Romillo, Alejandro -
REGISTERED AGENT ADDRESS CHANGED 2014-04-18 9064 N.W. 13 TERRACE, DORAL, FL 33172 -
AMENDMENT AND NAME CHANGE 2009-08-04 HEALTH CHOICE NETWORK OF FLORIDA, INC. -
CHANGE OF PRINCIPAL ADDRESS 2006-07-11 9064 N.W. 13 TERRACE, DORAL, FL 33172 -
CHANGE OF MAILING ADDRESS 2006-07-11 9064 N.W. 13 TERRACE, DORAL, FL 33172 -
AMENDMENT 2002-07-10 - -
AMENDED AND RESTATEDARTICLES 1995-07-26 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J14000221639 TERMINATED 1000000578396 LEE 2014-01-27 2034-02-21 $ 102,095.93 STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871
J14000082577 TERMINATED 1000000570137 MIAMI-DADE 2014-01-10 2034-01-15 $ 4,872.52 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828
J13001805697 TERMINATED 1000000557370 MIAMI-DADE 2013-12-16 2033-12-26 $ 2,144.18 STATE OF FLORIDA0124741

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-04-24
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-10

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C12CS21811 Department of Health and Human Services 93.501 - AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTER CAPITAL EXPENDITURES 2011-07-01 2013-06-30 AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM
Recipient HEALTH CHOICE NETWORK OF FLORIDA INC
Recipient Name Raw HEALTH CHOICE NETWORK OF FLORIDA, INC
Recipient UEI JC4DXG5H5KW1
Recipient DUNS 877623926
Recipient Address 1778 N BAYSHORE DR, 0, MIAMI, MIAMI-DADE, FLORIDA, 33132-1125, UNITED STATES
Obligated Amount 499972.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H2LCS18139 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2010-06-01 2012-05-31 ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION
Recipient HEALTH CHOICE NETWORK OF FLORIDA INC
Recipient Name Raw HEALTH CHOICE
Recipient UEI JC4DXG5H5KW1
Recipient DUNS 877623926
Recipient Address 1778 N BAYSHORE DR, 0, MIAMI, MIAMI-DADE, FLORIDA, 33132-1125, UNITED STATES
Obligated Amount 3140887.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
90RC0029 Department of Health and Human Services 93.718 - HEALTH INFORMATION TECHNOLOGY REGIONAL EXTENSION CENTERS PROGRAM 2010-02-08 2014-02-07 SOUTH FLORIDA HEALTH INFORMATION TECHNOLOGY REGIONAL EXTENSION CENTER
Recipient HEALTH CHOICE NETWORK OF FLORIDA INC
Recipient Name Raw HEALTH CHOICE
Recipient UEI JC4DXG5H5KW1
Recipient DUNS 877623926
Recipient Address 1778 N BAYSHORE DR, 0, MIAMI, MIAMI-DADE, FLORIDA, 33132-1125, UNITED STATES
Obligated Amount 14428318.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H2LIT16864 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-09-01 2011-08-31 ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION
Recipient HEALTH CHOICE NETWORK OF FLORIDA INC
Recipient Name Raw HEALTH CHOICE
Recipient UEI JC4DXG5H5KW1
Recipient DUNS 877623926
Recipient Address 1778 N BAYSHORE DR, 0, MIAMI, MIAMI-DADE, FLORIDA, 33132-1125, UNITED STATES
Obligated Amount 555000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H2LIT16607 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-09-01 2010-08-31 ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION
Recipient HEALTH CHOICE NETWORK OF FLORIDA INC
Recipient Name Raw HEALTH CHOICE
Recipient UEI JC4DXG5H5KW1
Recipient DUNS 877623926
Recipient Address 1778 N BAYSHORE DR, 0, MIAMI, MIAMI-DADE, FLORIDA, 33132-1125, UNITED STATES
Obligated Amount 478125.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H2KIT10786 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2008-09-01 2009-08-31 ELECTRONIC HEALTH RECORD IMPLEMENTATION INITIATIVE
Recipient HEALTH CHOICE NETWORK OF FLORIDA INC
Recipient Name Raw HEALTH CHOICE
Recipient UEI JC4DXG5H5KW1
Recipient DUNS 877623926
Recipient Address 3900 NW 79 AVENUE, MIAMI, FLORIDA, 33166
Obligated Amount 347488.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H2KIT08593 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2007-09-01 2010-08-31 ELECTRONIC HEALTH RECORD IMPLEMENTATION INITIATIVE
Recipient HEALTH CHOICE NETWORK OF FLORIDA INC
Recipient Name Raw HEALTH CHOICE
Recipient UEI JC4DXG5H5KW1
Recipient DUNS 877623926
Recipient Address 3900 NW 79 AVENUE, MIAMI, FLORIDA, 33166
Obligated Amount 900000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
65-0504316 Corporation Unconditional Exemption 9064 NW 13TH TER, DORAL, FL, 33172-2907 1995-12
In Care of Name % RICK FRIEDFELD
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-09
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 58793999
Income Amount 72859201
Form 990 Revenue Amount 63396356
National Taxonomy of Exempt Entities Health Care: Ambulatory Health Center, Community Clinic
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name HEALTH CHOICE NETWORK OF FLORIDA INC
EIN 65-0504316
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name HEALTH CHOICE NETWORK OF FLORIDA INC
EIN 65-0504316
Tax Period 202009
Filing Type E
Return Type 990
File View File
Organization Name HEALTH CHOICE NETWORK OF FLORIDA INC
EIN 65-0504316
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name HEALTH CHOICE NETWORK OF FLORIDA INC
EIN 65-0504316
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name HEALTH CHOICE NETWORK OF FLORIDA INC
EIN 65-0504316
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name HEALTH CHOICE NETWORK OF FLORIDA INC
EIN 65-0504316
Tax Period 201609
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5480137010 2020-04-05 0455 PPP 9064 NW 13 Terr, DORAL, FL, 33172-2907
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 684700
Loan Approval Amount (current) 1149200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17124
Servicing Lender Name City National Bank of Florida
Servicing Lender Address 100 SE 2nd St, MIAMI, FL, 33131
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address DORAL, MIAMI-DADE, FL, 33172-2907
Project Congressional District FL-26
Number of Employees 42
NAICS code 624190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 17124
Originating Lender Name City National Bank of Florida
Originating Lender Address MIAMI, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1162392.19
Forgiveness Paid Date 2021-06-11

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Companies related by address

No other companies in our directory share the same address as HEALTH CHOICE NETWORK OF FLORIDA, INC.

Date of last update: 01 Mar 2025

Sources: Florida Department of State

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