| Entity Name: | AM FERRAN PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Jun 2011 (14 years ago) |
| Document Number: | P11000058276 |
| FEI/EIN Number | 452599827 |
| Address: | 10631 N. Kendall Drive, MIAMI, FL, 33176, US |
| Mail Address: | 13301 SW 99 CT, MIAMI, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982027397 | 2014-01-22 | 2024-10-01 | 10691 N KENDALL DR STE 110, MIAMI, FL, 331761596, US | 10631 N KENDALL DR STE 1210, MIAMI, FL, 331761730, US | |||||||||||||||||||||||
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| Phone | +1 305-903-6011 |
| Fax | 3055980583 |
| Phone | +1 786-502-3012 |
Authorized person
| Name | MRS. ANA FERRAN |
| Role | PRESIDENT |
| Phone | 3059036011 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103332700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FERRAN ANA M | Agent | 13301 SW 99 CT, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| FERRAN ANA M | President | 13301 SW 99 CT, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| FERRAN ANA M | Secretary | 13301 SW 99 CT, MIAMI, FL, 33176 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000098957 | TEEN TALK COUNSELING | EXPIRED | 2012-10-10 | 2017-12-31 | No data | 12651 S DIXIE HWY # 324, MIAMI, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-24 | 10631 N. Kendall Drive, suite 1210, MIAMI, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-24 | 10631 N. Kendall Drive, suite 1210, MIAMI, FL 33176 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-10 | 13301 SW 99 CT, MIAMI, FL 33176 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-01-20 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
