Entity Name: | IAN FAMILY MEDICINE INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 27 Oct 2017 (7 years ago) |
Date of dissolution: | 22 Sep 2023 (a year ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2023 (a year ago) |
Document Number: | P17000087101 |
FEI/EIN Number | 82-3242978 |
Address: | 5870 SW 156 CT, MIAMI, FL 33193 |
Mail Address: | 5870 SW 156 CT, MIAMI, FL 33193 |
ZIP code: | 33193 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1063924876 | 2017-11-02 | 2017-11-09 | 5870 SW 156TH CT, MIAMI, FL, 331932834, US | 5870 SW 156TH CT, MIAMI, FL, 331932834, US | |||||||||||||||||
|
Phone | +1 786-683-2451 |
Authorized person
Name | MR. IAN FERNANDEZ |
Role | PRESIDENT |
Phone | 7866832451 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
License Number | ARNP9318028 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
FERNANDEZ, IAN | Agent | 5870 SW 156 CT, MIAMI, FL 33193 |
Name | Role | Address |
---|---|---|
FERNANDEZ, IAN | President | 5870 SW 156 CT, MIAMI, FL 33193 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2022-05-01 |
ANNUAL REPORT | 2021-04-30 |
ANNUAL REPORT | 2020-06-30 |
ANNUAL REPORT | 2019-04-08 |
ANNUAL REPORT | 2018-03-12 |
Domestic Profit | 2017-10-27 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State