| Entity Name: | ALFREDO SANCHEZ-FORTIS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 May 2000 (25 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Feb 2020 (5 years ago) |
| Document Number: | P00000048053 |
| FEI/EIN Number | 651009275 |
| Address: | 11440 NW 7th AVENUE, MIAMI, FL, 33168, US |
| Mail Address: | 11440 NW 7th AVENUE, MIAMI, FL, 33168, US |
| ZIP code: | 33168 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558446492 | 2006-10-26 | 2008-01-18 | 9999 NE SECOND AVENUE, SUITE 119, MIAMI SHORES, FL, 331382352, US | 9999 NE SECOND AVENUE, SUITE 119, MIAMI SHORES, FL, 331382352, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-756-4400 |
| Fax | 3057564484 |
Authorized person
| Name | DR. ALFREDO SANCHEZ-FORTIS |
| Role | PRESIDENT/OWNER |
| Phone | 7866214888 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME64654 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 25435 |
| State | FL |
| Issuer | MEDICAL LICENSE NUMBER |
| Number | ME64654 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Acosta Betsy D | Agent | 11440 NW 7th AVENUE, MIAMI, FL, 33168 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ-FORTIS ALFREDO DR. | President | 11440 NW 7th AVENUE, MIAMI, FL, 33168 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ-FORTIS ALFREDO DR. | Director | 11440 NW 7th AVENUE, MIAMI, FL, 33168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-09 | 11440 NW 7th AVENUE, MIAMI, FL 33168 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-09 | 11440 NW 7th AVENUE, MIAMI, FL 33168 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-09 | Acosta, Betsy D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-09 | 11440 NW 7th AVENUE, MIAMI, FL 33168 | No data |
| REINSTATEMENT | 2020-02-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-13 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-14 |
| REINSTATEMENT | 2020-02-21 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
