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JUAN A. FERNANDEZ, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: JUAN A. FERNANDEZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Dec 1996 (29 years ago)
Last Event: AMENDMENT
Event Date Filed: 24 Aug 2015 (10 years ago)
Document Number: P96000100076
FEI/EIN Number 650713010
Address: 5040 NW 7TH ST, SUITE 370, MIAMI, FL, 33126, US
Mail Address: 5040 NW 7TH ST, SUITE 370, MIAMI, FL, 33126, US
ZIP code: 33126
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FERNANDEZ JUAN A President 5040 NW 7th Street, MIAMI, FL, 33126
FERNANDEZ JUAN A Director 5040 NW 7th Street, MIAMI, FL, 33126
- Agent -

National Provider Identifier

NPI Number:
1164441713

Authorized Person:

Name:
JUAN A FERNANDEZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
3056481088

Form 5500 Series

Employer Identification Number (EIN):
650713010
Plan Year:
2024
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000009634 SOUTH FLORIDA KIDNEY PARTNERS ACTIVE 2019-01-18 2030-12-31 - 5040 NW 7TH STREET, SUITE 370, MIAMI, FL, 33126
G13000010843 SOUTH FLORIDA KIDNEY PARTNERS EXPIRED 2013-01-31 2018-12-31 - 2601 SW 37TH AVENUE, SUITE 702, MIAMI, FL, 33133

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-17 2020 Ponce de Leon Blvd., #1101, Coral Gables, FL 33134 -
AMENDMENT 2015-08-24 - -
CHANGE OF PRINCIPAL ADDRESS 2015-08-24 5040 NW 7TH ST, SUITE 370, MIAMI, FL 33126 -
CHANGE OF MAILING ADDRESS 2015-08-24 5040 NW 7TH ST, SUITE 370, MIAMI, FL 33126 -
REGISTERED AGENT NAME CHANGED 2015-08-24 SER & ASSOCIATES, PLLC -

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2021-04-05
ANNUAL REPORT 2020-06-19
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-03-31
Amendment 2015-08-24

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$110,000
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$110,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$111,229.59
Servicing Lender:
International Finance Bank
Use of Proceeds:
Payroll: $110,000

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Date of last update: 02 Jul 2025

Sources: Florida Department of State