| Entity Name: | PINECREST FAMILY MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PINECREST FAMILY MEDICINE, INC. 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Oct 2006 (18 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | P06000137246 |
| FEI/EIN Number |
205813224
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8353 SW 124 STREET, SUITE 201, MIAMI, FL, 33156, US |
| Mail Address: | 8353 SW 124 STREET, SUITE 201, MIAMI, FL, 33156, US |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851426019 | 2007-02-21 | 2010-10-13 | 8353 SW 124TH ST, SUITE 201, MIAMI, FL, 331565847, US | 8353 SW 124TH ST, SUITE 201, MIAMI, FL, 331565847, US | |||||||||||||||||||||||||
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| Phone | +1 305-235-4141 |
| Fax | 3052354381 |
Authorized person
| Name | DR. AGUEDA HERNANDEZ |
| Role | PRESIDENT |
| Phone | 3052354141 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME89580 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 2637103-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ AGUEDA | President | 8353 SW 124 STREET #201, MIAMI, FL, 33156 |
| HERNANDEZ AGUEDA | Agent | 8353 SW 124 STREET, MIAMI, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-09 | 8353 SW 124 STREET, 201, MIAMI, FL 33156 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-05-14 | 8353 SW 124 STREET, SUITE 201, MIAMI, FL 33156 | - |
| CHANGE OF MAILING ADDRESS | 2007-05-14 | 8353 SW 124 STREET, SUITE 201, MIAMI, FL 33156 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-11 |
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-04-26 |
| ANNUAL REPORT | 2009-07-06 |
| ANNUAL REPORT | 2008-04-09 |
| ANNUAL REPORT | 2007-05-14 |
| Domestic Profit | 2006-10-30 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
