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IAN FAMILY MEDICINE INC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
FERNANDEZ, IAN Agent 5870 SW 156 CT, MIAMI, FL 33193

President

Name Role Address
FERNANDEZ, IAN President 5870 SW 156 CT, MIAMI, FL 33193

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

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