| Entity Name: | IFA MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Aug 2001 (23 years ago) |
| Document Number: | P01000079721 |
| FEI/EIN Number | 651130519 |
| Address: | 1695 SW 107TH AVE., STE. E-101, MIAMI, FL, 33165 |
| Mail Address: | 8600 NW 17 ST, SUITE 160, MIAMI, FL, 33126 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083874275 | 2008-06-11 | 2008-07-22 | 1695 SW 107TH AVE, SUITE 201, MIAMI, FL, 331657344, US | 1695 SW 107TH AVE, SUITE 201, MIAMI, FL, 331657344, US | |||||||||||||||||||||||||||
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| Phone | +1 305-207-4443 |
| Fax | 3052074442 |
Authorized person
| Name | ELIEZER GONZALEZ |
| Role | PRESIDENT |
| Phone | 3052074443 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FDA CERTIFIED MAMMOGRAPHY |
| Number | 236497 |
| State | FL |
| Issuer | BLUE CROSS AND BLUE SHIELD |
| Number | V3102 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| QUEVEDO MARGARITA H | Agent | 8600 NW 17 ST, DORAL, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| QUEVEDO MARGARITA H | President | 8600 NW 17 ST STE 160, DORAL, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| QUEVEDO MICHAEL | Vice President | 8600 NW 17 ST STE 160, DORAL, FL, 33126 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000078828 | Q IMAGING | EXPIRED | 2011-08-08 | 2016-12-31 | No data | 8600 NW 17 STREET, SUITE 160, DORAL, FL, 33012-6 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| AMENDMENT | 2010-11-29 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001252254 | LAPSED | 09-005562 (05) | CIR CT BROWARD COUNTY FL | 2013-08-08 | 2018-08-19 | $106,005.48 | SUNTRUST BANK, 700 EAST HILL AVENUE, KNOXVILLE, TN 37915 |
| J08900009703 | LAPSED | 07-14177-CA-04 | CIR CRT 11 JUD CIR MIAMI-DADE | 2007-12-11 | 2013-06-03 | $607294.66 | GENERAL ELECTRIC CAPITAL CORPORATION, 20225 WATERTOWER BOULEVARD, SUITE 100, BROOKFIELD, WI 53045 |
| J08900009702 | LAPSED | 0714942CA02 | 11 JUD MIAMI DADE CTY | 2007-11-28 | 2013-06-03 | $263141.54 | HPSC INC, 20225 WATERTOWER BLVD STE 100, BROOKFIELD, WI 53045 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
