| Entity Name: | EXCEL MEDICAL ASSOCIATES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Apr 2015 (10 years ago) |
| Document Number: | P15000035028 |
| FEI/EIN Number | 47-3756577 |
| Address: | 15490 nw 7 ave suite 101, Miami, FL, 33169, US |
| Mail Address: | 15490 nw 7 ave suite 101, Miami, FL, 33169, US |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053797480 | 2015-08-07 | 2024-05-28 | 15490 NW 7TH AVE STE 10, MIAMI, FL, 331696250, US | 13936 NW 7TH AVE, MIAMI, FL, 331682908, US | |||||||||||||||||||||||
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| Phone | +1 305-364-5778 |
Authorized person
| Name | JOSEPH DURANDIS |
| Role | PRESIDENT |
| Phone | 3053645778 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME110670 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004375900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DURANDIS JOSEPH | Agent | 15490 nw 7 ave suite 101, Miami, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| DURANDIS JOSEPH | President | 15490 nw 7 ave suite 101, miami, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| Franco Sindy | Vice President | 15490 nw 7 ave suite 101, Miami, FL, 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 15490 nw 7 ave suite 101, Miami, FL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 15490 nw 7 ave suite 101, Miami, FL 33169 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 15490 nw 7 ave suite 101, Miami, FL 33169 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-08-03 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-08 |
| ANNUAL REPORT | 2016-04-25 |
| Domestic Profit | 2015-04-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
