| Entity Name: | INTERNAL MEDICINE ASSOCIATES & SPECIALTIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
INTERNAL MEDICINE ASSOCIATES & SPECIALTIES, 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: | 27 Feb 1996 (29 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Nov 2019 (5 years ago) |
| Document Number: | P96000018072 |
| FEI/EIN Number |
650647798
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 603 N. FLAMINGO RD., SUITE 357, PEMBROKE PINES, FL, 33028, US |
| Mail Address: | 603 N. FLAMINGO RD., SUITE 357, PEMBROKE PINES, FL, 33028, US |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336293539 | 2007-01-23 | 2023-11-13 | 603 N FLAMINGO RD STE 357, PEMBROKE PINES, FL, 330281013, US | 603 N FLAMINGO RD STE 357, PEMBROKE PINES, FL, 330281013, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-450-8488 |
Authorized person
| Name | DR. FAUSTO DELA CRUZ |
| Role | PRES |
| Phone | 9544508488 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0048782 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 115790700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DE LA CRUZ FAUSTO AMD | President | 603 N FLAMINGO RD #357, PEMBROKE PINES, FL, 33028 |
| DE LA CRUZ FAUSTO AMD | Vice President | 603 N FLAMINGO RD #357, PEMBROKE PINES, FL, 33028 |
| DE LA CRUZ FAUSTO AMD | Secretary | 603 N FLAMINGO RD #357, PEMBROKE PINES, FL, 33028 |
| DE LA CRUZ FAUSTO AMD | Treasurer | 603 N FLAMINGO RD #357, PEMBROKE PINES, FL, 33028 |
| DE LA CRUZ FAUSTO AMD | Agent | 603 NORTH FLAMINGO RD #357, PEMBROKE PINES, FL, 33028 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-11-04 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-02-17 | DE LA CRUZ, FAUSTO A, MD | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-16 | 603 NORTH FLAMINGO RD #357, PEMBROKE PINES, FL 33028 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-12 | 603 N. FLAMINGO RD., SUITE 357, PEMBROKE PINES, FL 33028 | - |
| CHANGE OF MAILING ADDRESS | 2004-04-12 | 603 N. FLAMINGO RD., SUITE 357, PEMBROKE PINES, FL 33028 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-13 |
| REINSTATEMENT | 2019-11-04 |
| ANNUAL REPORT | 2018-02-17 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-02-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5595147002 | 2020-04-05 | 0455 | PPP | 603 North Flamingo Rd Suite 357, PEMBROKE PINES, FL, 33028-1005 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 Mar 2025
Sources: Florida Department of State
