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FMD MEDICAL CORP.

Company Details

Entity Name: FMD MEDICAL CORP.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 13 Jun 2005 (20 years ago)
Last Event: AMENDMENT
Event Date Filed: 01 Sep 2016 (8 years ago)
Document Number: P05000084779
FEI/EIN Number 20-2997315
Address: 3641 S MIAMI AVENUE, SUITE 250, MIAMI, FL 33133
Mail Address: 3641 S MIAMI AVENUE, SUITE 250, MIAMI, FL 33133
ZIP code: 33133
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215272026 2012-12-05 2012-12-05 3659 S MIAMI AVE STE 5005, MIAMI, FL, 331334221, US 3659 S MIAMI AVE STE 5005, MIAMI, FL, 331334221, US

Contacts

Phone +1 305-854-2899
Fax 3058599677

Authorized person

Name ILEANA ROCA
Role BUSINESS MANAGER
Phone 3058542899

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME88547
State FL
Is Primary Yes

Agent

Name Role Address
FIDALGO, EDWARD Agent 3641 S MIAMI AVENUE, SUITE 250, MIAMI, FL 33133

President

Name Role Address
FIDALGO, EDWARD President 3641 S MIAMI AVENUE, SUITE 250 MIAMI, FL 33133

Director

Name Role Address
FIDALGO, EDWARD Director 3641 S MIAMI AVENUE, SUITE 250 MIAMI, FL 33133

Secretary

Name Role Address
FIDALGO, EDWARD Secretary 3641 S MIAMI AVENUE, SUITE 250 MIAMI, FL 33133

Vice President

Name Role Address
GARCIA, CARLOS Vice President 3641 S MIAMI AVENUE, SUITE 250 MIAMI, FL 33133
GUELL, GREGORY A Vice President 3641 S MIAMI AVENUE, SUITE 250 MIAMI, FL 33133
Larrieu, Tessie M Vice President 3641 S MIAMI AVENUE, SUITE 250 MIAMI, FL 33133
Dominguez, Alexis Vice President 3641 S MIAMI AVENUE, SUITE 250 MIAMI, FL 33133

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-13 3641 S MIAMI AVENUE, SUITE 250, MIAMI, FL 33133 No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-13 3641 S MIAMI AVENUE, SUITE 250, MIAMI, FL 33133 No data
CHANGE OF MAILING ADDRESS 2019-04-13 3641 S MIAMI AVENUE, SUITE 250, MIAMI, FL 33133 No data
AMENDMENT 2016-09-01 No data No data
REINSTATEMENT 2011-04-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
REINSTATEMENT 2007-10-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-03-01
ANNUAL REPORT 2021-03-08
ANNUAL REPORT 2020-03-11
ANNUAL REPORT 2019-04-13
ANNUAL REPORT 2018-03-08
AMENDED ANNUAL REPORT 2017-10-25
ANNUAL REPORT 2017-03-07
Amendment 2016-09-01

Date of last update: 04 Jan 2025

Sources: Florida Department of State