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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
GONZALEZ Fanny | Agent | 7800 SW 57 Ave, Miami, FL, 33143 |
Name | Role | Address |
---|---|---|
GONZALEZ FANNY | President | PO BOX 144653, CORAL GABLES, FL, 33114 |
Name | Role | Address |
---|---|---|
GONZALEZ FANNY | Secretary | PO BOX 144653, CORAL GABLES, FL, 33114 |
Name | Role | Address |
---|---|---|
GONZALEZ FANNY | Treasurer | PO BOX 144653, CORAL GABLES, FL, 33114 |
Name | Role | Address |
---|---|---|
GONZALEZ FANNY | Director | PO BOX 144653, CORAL GABLES, FL, 33114 |
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 |
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