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FERNANDO GONZALEZ VERGARA, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: FERNANDO GONZALEZ VERGARA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FERNANDO GONZALEZ VERGARA, M.D., P.A. 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 15 Jul 2013 (12 years ago)
Document Number: P13000059216
FEI/EIN Number 46-3198995

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

Address: 8050 N. UNIVERSITY DRIVE, TAMARAC, FL, 33321, US
Mail Address: 17476 SW 35 TH Ct, Miramar, FL, 33029, US
ZIP code: 33321
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265882906 2016-06-14 2022-11-10 8050 N UNIVERSITY DR, TAMARAC, FL, 333212115, US 8050 N UNIVERSITY DR, TAMARAC, FL, 333212115, US

Contacts

Phone +1 786-553-3391
Fax 9549987307

Authorized person

Name MRS. ANA IVETTE GONZALEZ
Role MANAGER
Phone 7865533391

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAL LICENCE
Number ME114208
State FL

Key Officers & Management

Name Role Address
Vergara Fernando G President 8050 N. UNIVERSITY DRIVE, Tamarac, FL, 33321
Gonzalez Ana I Vice President 8050 N. UNIVERSITY DRIVE, Tamarac, FL, 33321
Gonzalez Ana I Secretary 8050 N. UNIVERSITY DRIVE, Tamarac, FL, 33321
GONZALEZ VERGARA FERNANDO Agent 17476 SW 35 Ct, Miramar, FL, 33029

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000027960 VERGARA MEDICAL & AESTHETIC ACTIVE 2024-02-21 2029-12-31 - 8050 N. UNIVERSITY DRIVE SUITE 101, TAMARAC, FL, 33321
G16000075984 INNOVATIVE HEALTH ACTIVE 2016-07-29 2027-12-31 - 6750 TAFT ST, HOLLYWOOD, FL, 33024

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-19 8050 N. UNIVERSITY DRIVE, 101, TAMARAC, FL 33321 -
CHANGE OF MAILING ADDRESS 2024-01-19 8050 N. UNIVERSITY DRIVE, 101, TAMARAC, FL 33321 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-06 17476 SW 35 Ct, Miramar, FL 33029 -

Documents

Name Date
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-02-17
ANNUAL REPORT 2020-06-17
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-03-11
ANNUAL REPORT 2017-02-19
AMENDED ANNUAL REPORT 2016-08-31
ANNUAL REPORT 2016-03-05

Date of last update: 02 Apr 2025

Sources: Florida Department of State