| Entity Name: | FRAGA MEDICAL CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FRAGA MEDICAL CENTER INC. 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: | 25 Jan 1993 (32 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Nov 2018 (6 years ago) |
| Document Number: | P93000005677 |
| FEI/EIN Number |
650376033
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 5590 W 20 Ave, Hialeah, FL, 33016, US |
| Address: | 11865 CORAL WAY, MIAMI, FL, 33175, US |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871698027 | 2006-09-13 | 2018-03-17 | 4141 SW 6TH ST, CORAL GABLES, FL, 331342057, US | 11865 CORAL WAY, SUITE B-7, MIAMI, FL, 331752400, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-443-5031 |
| Phone | +1 305-220-6128 |
| Fax | 3052272855 |
Authorized person
| Name | DR. RENE CASANOVA |
| Role | MEDICAL DIRECTOR |
| Phone | 9548167795 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ACN961 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2080A0000X - Pediatric Adolescent Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 279234600 |
| State | FL |
| Issuer | MEDICAID |
| Number | 054135400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CASANOVA RENE | Director | 1144 SE 3RD AVENUE, FORT LAUDERDALE, FL, 33316 |
| CASANOVA RENE | President | 1144 SE 3RD AVENUE, FORT LAUDERDALE, FL, 33316 |
| BEILLY BRADFORD J | Agent | 1144 SE 3RD AVE, FORT LAUDERDALE, FL, 33316 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000045892 | PRIMECARE FAMILY CENTERS | EXPIRED | 2019-04-11 | 2024-12-31 | - | 7765 NW 48 STREET, SUITE 300, DORAL, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-20 | 11865 CORAL WAY, SUITE B7-B6, MIAMI, FL 33175 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 11865 CORAL WAY, SUITE B7-B6, MIAMI, FL 33175 | - |
| AMENDMENT | 2018-11-16 | - | - |
| CANCEL ADM DISS/REV | 2007-10-09 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-08-30 | 1144 SE 3RD AVE, FORT LAUDERDALE, FL 33316 | - |
| REGISTERED AGENT NAME CHANGED | 2007-08-30 | BEILLY, BRADFORD JESQ. | - |
| AMENDMENT | 2007-08-30 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-04-09 |
| Amendment | 2018-11-16 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-14 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
