| Entity Name: | ERNESTO E. FONTS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 May 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P16000039270 |
| FEI/EIN Number | 82-5049868 |
| Address: | 777 EAST 25TH STREET, 512, HIALEAH, FL 33013 |
| Mail Address: | 777 EAST 25TH STREET, 512, HIALEAH, FL 33013 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366929465 | 2018-07-23 | 2018-07-23 | 777 E 25TH ST STE 512, HIALEAH, FL, 330133834, US | 777 E 25TH ST STE 512, HIALEAH, FL, 330133834, US | |||||||||||||||||||||||||
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| Phone | +1 305-696-5007 |
| Fax | 3058358907 |
Authorized person
| Name | ERNESTO E FONTS |
| Role | PULMONOLOGIST |
| Phone | 3056965007 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | ME41846 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 045887200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SUAREZ, FRANCIS X | Agent | 1750 CORAL WAY, 2ND FLOOR, MIAMI, FL 33145 |
| Name | Role | Address |
|---|---|---|
| FONTS, ERNESTO E | President | 777 EAST 25TH STREET, SUITE 512, HIALEAH, FL 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-03-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-19 | SUAREZ, FRANCIS X | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2018-03-19 |
| Domestic Profit | 2016-05-02 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
