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FERNANDEZ FAMILY MEDICINE, INC. - Florida Company Profile

Company Details

Entity Name: FERNANDEZ FAMILY MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FERNANDEZ FAMILY MEDICINE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 01 Apr 2013 (12 years ago)
Date of dissolution: 27 Sep 2019 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (6 years ago)
Document Number: P13000029737
FEI/EIN Number APPLIED FOR

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 901-A SW 87 AVE, MIAMI, FL, 33174
Mail Address: 901-A SW 87 AVE, MIAMI, FL, 33174
ZIP code: 33174
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205271046 2013-05-07 2013-05-07 901 SW 87TH AVE, SUITE # A, MIAMI, FL, 331743206, US 901 SW 87TH AVE, SUITE # A, MIAMI, FL, 331743206, US

Contacts

Phone +1 305-512-0080
Fax 3055120082

Authorized person

Name INTI FERNANDEZ
Role PRESIDENT
Phone 3059037587

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number ME97323
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 007660200
State FL

Key Officers & Management

Name Role Address
FERNANDEZ INTI President 901-A SW 87 AVE, MIAMI, FL, 33174
FERNANDEZ INTI Agent 901-A SW 87 AVE, MIAMI, FL, 33174

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
REINSTATEMENT 2015-04-10 - -
REGISTERED AGENT NAME CHANGED 2015-04-10 FERNANDEZ, INTI -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 - -

Documents

Name Date
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-29
REINSTATEMENT 2015-04-10
Domestic Profit 2013-04-01

Date of last update: 02 Apr 2025

Sources: Florida Department of State