| Entity Name: | FRAGA PEDIATRICS & ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FRAGA PEDIATRICS & ASSOCIATES, P.A. 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: | 11 Sep 1997 (28 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Nov 2018 (6 years ago) |
| Document Number: | P97000078792 |
| FEI/EIN Number |
650779316
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 5590 W 20 Ave, Hialeah, FL, 33016, US |
| Address: | 5590 W 20 Ave, SUITE # 100, HIALEAH, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891890059 | 2006-09-13 | 2017-12-26 | 7765 NW 48TH ST STE 300, DORAL, FL, 331665404, US | 5590 W 20TH AVE STE 100, HIALEAH, FL, 330167061, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 305-442-1740 |
| Phone | +1 305-828-3997 |
| Fax | 3058284696 |
Authorized person
| Name | RENE CASANOVA |
| Role | PRESIDENT |
| Phone | 3054421740 |
Taxonomy
| 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 | 000711900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 279232000 |
| 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 |
|---|---|---|---|---|---|---|
| G19000045890 | 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 | 5590 W 20 Ave, SUITE # 100, HIALEAH, FL 33016 | - |
| AMENDMENT | 2018-11-16 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-10 | 5590 W 20 Ave, SUITE # 100, HIALEAH, FL 33016 | - |
| CANCEL ADM DISS/REV | 2007-10-09 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | - | - |
| AMENDMENT | 2007-08-30 | - | - |
| 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 | - |
| NAME CHANGE AMENDMENT | 1999-02-15 | FRAGA PEDIATRICS & ASSOCIATES, P.A. | - |
| 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: 01 Apr 2025
Sources: Florida Department of State
