| Entity Name: | VICENTE F. FRANCO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Mar 1995 (30 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Dec 2010 (14 years ago) |
| Document Number: | P95000021204 |
| FEI/EIN Number | 65-0568984 |
| Address: | 1884 S.W. 57TH AVE, MIAMI, FL 33155 |
| Mail Address: | 1884 S.W. 57TH AVE, MIAMI, FL 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205026853 | 2007-07-30 | 2007-07-30 | 1884 SW 57TH AVE, MIAMI, FL, 331552139, US | 1884 SW 57TH AVE, MIAMI, FL, 331552139, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-262-9333 |
| Fax | 3052629332 |
Authorized person
| Name | VICENTE FULGENCIO FRANCO |
| Role | PRESIDENT |
| Phone | 3052629333 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME0065682 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 374703400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FRANCO, VICENTE F | Agent | 1884 SW 57TH AVE, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| FRANCO, VICENTE F | MDPA | 1884 SW 57TH AVE, MIAMI, FL 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2010-12-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1999-05-06 | 1884 SW 57TH AVE, MIAMI, FL 33155 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1998-12-31 | 1884 S.W. 57TH AVE, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 1998-12-31 | 1884 S.W. 57TH AVE, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-05-04 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-05-01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9428577308 | 2020-05-02 | 0455 | PPP | 1884 S RED RD, MIAMI, FL, 33155-2139 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Feb 2025
Sources: Florida Department of State
