| Entity Name: | ANA J FANDINO MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ANA J FANDINO MD PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 12 Apr 2005 (20 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 01 Oct 2006 (19 years ago) |
| Document Number: | P05000054295 |
| FEI/EIN Number |
202690928
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10300 SUNSET DRIVE, SUITE 430, MIAMI, FL, 33173, US |
| Mail Address: | 10300 SUNSET DRIVE, SUITE 430, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639102155 | 2006-07-08 | 2007-08-17 | 9780 SW 24TH ST, MIAMI, FL, 331657574, US | 9780 SW 24TH ST, MIAMI, FL, 331657574, US | |||||||||||||||||||||||||
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| Phone | +1 305-551-5051 |
| Fax | 3055518808 |
Authorized person
| Name | ANA JULIA FANDINO |
| Role | PRESIDENT |
| Phone | 3055515051 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME91994 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 272739100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FANDINO ANA J | President | 10300 SUNSET DR. SUITE 430, MIAMI, FL, 33173 |
| Rollon Andy | Chief Executive Officer | 10300 SUNSET DRIVE, MIAMI, FL, 33173 |
| FANDINO ANA J | Agent | 10300 SUNSET DRIVE, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-28 | 10300 SUNSET DRIVE, SUITE 430, MIAMI, FL 33173 | - |
| CHANGE OF MAILING ADDRESS | 2016-02-28 | 10300 SUNSET DRIVE, SUITE 430, MIAMI, FL 33173 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-28 | 10300 SUNSET DRIVE, SUITE430, MIAMI, FL 33173 | - |
| CANCEL ADM DISS/REV | 2006-10-01 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-08-17 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-02-28 |
| ANNUAL REPORT | 2015-02-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5020067709 | 2020-05-01 | 0455 | PPP | 10300 SW 72ND ST STE 430, MIAMI, FL, 33173-3021 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
