| Entity Name: | FREDERICK FERGUSON, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Feb 2007 (18 years ago) |
| Date of dissolution: | 20 Mar 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Mar 2015 (10 years ago) |
| Document Number: | P07000020071 |
| FEI/EIN Number | 208608050 |
| Address: | 3180 NW 157 STREET, OPA-LOCKA, FL, 33054 |
| Mail Address: | 1835 N.E. MIAMI GARDENS DRIVE, #501, NORTH MIAMI BEACH, FL, 33179 |
| ZIP code: | 33054 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710161815 | 2007-12-26 | 2007-12-26 | 100 NW 170TH ST, 301, NORTH MIAMI BEACH, FL, 331695513, US | 100 NW 170TH ST, 301, NORTH MIAMI BEACH, FL, 331695513, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 305-655-1025 |
| Fax | 3056529530 |
Authorized person
| Name | DR. FREDERICK FERGUSON |
| Role | PRESIDENT |
| Phone | 3056551025 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME75338 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERGUSON FREDERICK | Agent | 1835 NE MIAMI GARDEN DRIVE, NORTH MIAMI BEACH, FL, 33179 |
| Name | Role | Address |
|---|---|---|
| FERGUSON FREDERICK | President | 1835 NE MIAMI GARDEN DRIVE, 501, NORTH MIAMI BEACH, FL, 33179 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-03-20 | No data | No data |
| REINSTATEMENT | 2013-11-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-21 | 1835 NE MIAMI GARDEN DRIVE, #501, NORTH MIAMI BEACH, FL 33179 | No data |
| REINSTATEMENT | 2010-11-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-11-03 | 3180 NW 157 STREET, OPA-LOCKA, FL 33054 | No data |
| CHANGE OF MAILING ADDRESS | 2010-11-03 | 3180 NW 157 STREET, OPA-LOCKA, FL 33054 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2009-12-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J09002242666 | LAPSED | 09-35167 CA 10 | MIAMI-DADE COUNTY COURTHOUSE | 2009-11-03 | 2015-01-11 | $450,539.05 | WACHOVIA SBA LENDING, INC., 1620 E. ROSEVILLE PARKWAY, SUITE 100, ROSEVILLE, CA 95661 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-03-20 |
| ANNUAL REPORT | 2014-02-03 |
| REINSTATEMENT | 2013-11-14 |
| ANNUAL REPORT | 2012-01-14 |
| ANNUAL REPORT | 2011-04-21 |
| REINSTATEMENT | 2010-11-03 |
| CORAPREIWP | 2009-12-30 |
| ANNUAL REPORT | 2008-02-15 |
| Domestic Profit | 2007-02-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
