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FANNY GONZALEZ, M.D., P.A.

Company Details

Entity Name: FANNY GONZALEZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Apr 2010 (15 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 23 Apr 2012 (13 years ago)
Document Number: P10000031607
FEI/EIN Number 272380254
Address: 7800 SW 57 Ave, Suite 305, Miami, FL, 33143, US
Mail Address: PO BOX 144653, CORAL GABLES, FL, 33114
ZIP code: 33143
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144547399 2010-04-28 2012-05-10 PO BOX 144653, CORAL GABLES, FL, 331144653, US 2525 SW 3RD AVE, UNIT CU1, MIAMI, FL, 331292056, US

Contacts

Phone +1 305-856-7005
Fax 3058567533

Authorized person

Name DR. FANNY GONZALEZ
Role OWNER
Phone 3058567005

Taxonomy

Taxonomy Code 2080P0210X - Pediatric Nephrology Physician
License Number ME106001
State FL
Is Primary Yes

Agent

Name Role Address
GONZALEZ Fanny Agent 7800 SW 57 Ave, Miami, FL, 33143

President

Name Role Address
GONZALEZ FANNY President PO BOX 144653, CORAL GABLES, FL, 33114

Secretary

Name Role Address
GONZALEZ FANNY Secretary PO BOX 144653, CORAL GABLES, FL, 33114

Treasurer

Name Role Address
GONZALEZ FANNY Treasurer PO BOX 144653, CORAL GABLES, FL, 33114

Director

Name Role Address
GONZALEZ FANNY Director PO BOX 144653, CORAL GABLES, FL, 33114

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-05-01 7800 SW 57 Ave, Suite 305, Miami, FL 33143 No data
REGISTERED AGENT NAME CHANGED 2022-05-01 GONZALEZ, Fanny No data
REGISTERED AGENT ADDRESS CHANGED 2022-05-01 7800 SW 57 Ave, Suite 305, Miami, FL 33143 No data
AMENDMENT AND NAME CHANGE 2012-04-23 FANNY GONZALEZ, M.D., P.A. No data
CHANGE OF MAILING ADDRESS 2011-04-30 7800 SW 57 Ave, Suite 305, Miami, FL 33143 No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-05-31
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-04-30

Date of last update: 02 Feb 2025

Sources: Florida Department of State