| Entity Name: | MANUEL GARCIA-FRANGIE, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Aug 2000 (24 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 20 Oct 2009 (15 years ago) |
| Document Number: | P00000082884 |
| FEI/EIN Number | 651036300 |
| Address: | 135 San Lorenzo Ave., Coral Gables, FL, 33146, US |
| Mail Address: | 4511 NW 96 PLACE, MIAMI, FL, 33178, US |
| ZIP code: | 33146 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740580687 | 2010-10-26 | 2013-05-07 | PO BOX 227804, MIAMI, FL, 332227804, US | 1321 NW 14TH ST, STE 400, MIAMI, FL, 331251673, US | |||||||||||||||||||||||||
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| Phone | +1 305-326-3343 |
| Fax | 3053250887 |
Authorized person
| Name | MANUEL M GARCIA-FRANGIE |
| Role | PRESIDENT |
| Phone | 3053263343 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| License Number | ME0080806 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 2594021003 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA-FRANGIE MANUEL M | Agent | 4511 NW 96 PLACE, MIAMI, FL, 33178 |
| Name | Role | Address |
|---|---|---|
| GARCIA-FRANGIE MANUEL M | President | 4511 NW 96 PLACE, MIAMI, FL, 33178 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-21 | 135 San Lorenzo Ave., Suite 560, Coral Gables, FL 33146 | No data |
| CANCEL ADM DISS/REV | 2009-10-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2006-02-07 | 135 San Lorenzo Ave., Suite 560, Coral Gables, FL 33146 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-07-26 | 4511 NW 96 PLACE, MIAMI, FL 33178 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-03-10 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
