| Entity Name: | FRANCISCO J. BORJA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 04 Aug 1995 (30 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P95000060402 |
| FEI/EIN Number | 65-0597432 |
| Address: | 8950 N. KEDALL DR., STE 507W, MIAMI, FL 33176 |
| Mail Address: | 8950 N. KEDALL DR., STE 507W, MIAMI, FL 33176 |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386864874 | 2007-04-26 | 2020-08-22 | 8940 N KENDALL DR, SUITE 101E, MIAMI, FL, 331762148, US | 8940 N KENDALL DR, SUITE 101E, MIAMI, FL, 331762148, US | |||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-275-9556 |
| Fax | 3052738799 |
Authorized person
| Name | DR. FRANCISCO J BORJA |
| Role | OWNER - PHYSICIAN |
| Phone | 3052759556 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | 39682 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363A00000X - Physician Assistant |
| License Number | 9103071 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | WITCOSKI NPI NUMBER |
| Number | 1407845845 |
| State | FL |
| Issuer | BORJA NPI NUMBER |
| Number | 1255320693 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANCISCO J BORJA MD PA 401 (K) PROFIT SHARING PLAN | 2011 | 650597432 | 2012-04-13 | FRANCISCO J BORJA M.D. P.A. | 7 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 650597432 |
| Plan administrator’s name | FRANCISCO J BORJA M.D. P.A. |
| Plan administrator’s address | 8950 N KENDALL DR STE 507W, MIAMI, FL, 33176 |
| Administrator’s telephone number | 3052759556 |
Signature of
| Role | Plan administrator |
| Date | 2012-04-13 |
| Name of individual signing | FRANCISCO J BORJA M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2001-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3052759556 |
| Plan sponsor’s address | 8950 N KENDALL DR STE 507W, MIAMI, FL, 33176 |
Plan administrator’s name and address
| Administrator’s EIN | 650597432 |
| Plan administrator’s name | FRANCISCO J BORJA M.D. P.A. |
| Plan administrator’s address | 8950 N KENDALL DR STE 507W, MIAMI, FL, 33176 |
| Administrator’s telephone number | 3052759556 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-24 |
| Name of individual signing | FRANCISCO J BORJA M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2001-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3052759556 |
| Plan sponsor’s address | 8940 N KENDALL DR STE 101E, MIAMI, FL, 33176 |
Plan administrator’s name and address
| Administrator’s EIN | 650597432 |
| Plan administrator’s name | FRANCISCO J BORJA M.D. P.A. |
| Plan administrator’s address | 8940 N KENDALL DR STE 101E, MIAMI, FL, 33176 |
| Administrator’s telephone number | 3052759556 |
Signature of
| Role | Plan administrator |
| Date | 2010-05-19 |
| Name of individual signing | FRANCISCO J BORJA M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BORJA, FRANCISCO J | Agent | 8950 S.W. 88TH STREET, SUITE 507 W, MIAMI, FL 33176 |
| Name | Role | Address |
|---|---|---|
| BORJA, FRANCISCO J | Director | 8950 N. KEDALL DR., STE 507W, MIAMI, FL 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-08 | 8950 S.W. 88TH STREET, SUITE 507 W, MIAMI, FL 33176 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-09-23 | 8950 N. KEDALL DR., STE 507W, MIAMI, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2010-09-23 | 8950 N. KEDALL DR., STE 507W, MIAMI, FL 33176 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-02-03 |
| ANNUAL REPORT | 2011-02-08 |
| ADDRESS CHANGE | 2010-09-23 |
| ANNUAL REPORT | 2010-01-08 |
| ANNUAL REPORT | 2009-02-06 |
| ANNUAL REPORT | 2008-01-18 |
| ANNUAL REPORT | 2007-01-26 |
| ANNUAL REPORT | 2006-01-31 |
| ANNUAL REPORT | 2005-01-24 |
| ANNUAL REPORT | 2004-02-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
