| Entity Name: | AMERICAN FAMILY HEALTH CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Oct 2003 (21 years ago) |
| Document Number: | P03000122584 |
| FEI/EIN Number | 200350809 |
| Address: | 777 East 25 St, Hialeah, FL, 33013, US |
| Mail Address: | P. O. BOX 278004, MIRAMAR, FL, 33027 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487684569 | 2006-07-04 | 2024-01-30 | PO BOX 278004, MIRAMAR, FL, 330278004, US | 777 E 25TH ST STE 304, HIALEAH, FL, 330133849, US | |||||||||||||||||||||||||
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| Phone | +1 305-231-8996 |
| Fax | 3052318433 |
Authorized person
| Name | MR. FELIX ALEJANDRO RODRIGUEZ |
| Role | MEDICAL DIRECTOR/ PRESIDENT |
| Phone | 3052318996 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME77127 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 262187800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ FELIX A | Agent | 777 East 25 St, HIALEAH, FL, 33013 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ FELIX A | President | 3629 S.W. 162ND AVE, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ REYNA Y | Vice President | 3629 S.W. 162ND AVE, MIRAMAR, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-06 | 777 East 25 St, # 304, Hialeah, FL 33013 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-06 | 777 East 25 St, # 304, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-24 | 777 East 25 St, # 304, Hialeah, FL 33013 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-02-21 |
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
