| Entity Name: | MIAMI FAMILY MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Apr 2011 (14 years ago) |
| Document Number: | P11000035135 |
| FEI/EIN Number | 45-1915484 |
| Address: | 1757 SW 3rd Ave, Miami, FL 33129 |
| Mail Address: | 1333 S Miami Ave, Ste 303, Miami, FL 33130 |
| ZIP code: | 33129 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790071975 | 2011-06-25 | 2013-01-30 | 1757 SW 3RD AVE, MIAMI, FL, 331291414, US | 1757 SW 3RD AVE, MIAMI, FL, 331291414, US | |||||||||||||||
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| Phone | +1 305-351-2410 |
| Fax | 3053971392 |
Authorized person
| Name | DR. ALICIA D COKER |
| Role | PRESIDENT |
| Phone | 3053512410 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Marchello, Marc | Agent | 1333 S Miami Ave, Ste 303, Miami, FL 33130 |
| Name | Role | Address |
|---|---|---|
| COKER, ALICIA D, Dr. | President | 1333 S Miami Ave, Ste 303 Miami, FL 33130 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-02 | 1757 SW 3rd Ave, Miami, FL 33129 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-02 | 1333 S Miami Ave, Ste 303, Miami, FL 33130 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-08-16 | Marchello, Marc | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-09 | 1757 SW 3rd Ave, Miami, FL 33129 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000214464 | TERMINATED | 1000000886385 | DADE | 2021-04-30 | 2041-05-05 | $ 1,139.64 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-02 |
| AMENDED ANNUAL REPORT | 2022-08-16 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-04-07 |
| ANNUAL REPORT | 2019-05-08 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-24 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
