| Entity Name: | FLORIDA KIDZ & FAMILIES MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Mar 2006 (19 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P06000042617 |
| FEI/EIN Number | 223922820 |
| Address: | 551 E 49TH STREET, FIRST FLOOR, HIALEAH, FL, 33013 |
| Mail Address: | 11479 SW 40TH STREET, MIAMI, FL, 33165 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255475190 | 2007-02-16 | 2011-12-28 | 11479 SW 40TH ST, MIAMI, FL, 331653311, US | 551 E 49TH ST, HIALEAH, FL, 330131904, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-221-7235 |
| Fax | 3052201847 |
| Phone | +1 305-221-4994 |
Authorized person
| Name | DR. KENNETH HERSHMAN |
| Role | OWNER |
| Phone | 3052217235 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 278142500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERSHMAN LLOYD | Agent | 11479 SW 40 ST, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| HERSHMAN LLOYD S | Director | 11479 SW 40TH STREET, MIAMI, FL, 33165 |
| HERSHMAN KENNETH D | Director | 11479 SW 40TH STREET, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| HERSHMAN KENNETH D | President | 11479 SW 40TH STREET, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| HERSHMAN LLOYD S | Vice President | 11479 SW 40TH STREET, MIAMI, FL, 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-09-22 | 551 E 49TH STREET, FIRST FLOOR, HIALEAH, FL 33013 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-04-23 | HERSHMAN, LLOYD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-23 | 11479 SW 40 ST, MIAMI, FL 33165 | No data |
| NAME CHANGE AMENDMENT | 2007-05-14 | FLORIDA KIDZ & FAMILIES MEDICAL CENTER, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-24 | 551 E 49TH STREET, FIRST FLOOR, HIALEAH, FL 33013 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-09-22 |
| ANNUAL REPORT | 2011-03-11 |
| ANNUAL REPORT | 2010-02-19 |
| ANNUAL REPORT | 2009-04-15 |
| ANNUAL REPORT | 2008-04-23 |
| Name Change | 2007-05-14 |
| ANNUAL REPORT | 2007-04-24 |
| Domestic Profit | 2006-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
