| Entity Name: | FLORIDA INSTITUTE FOR REPRODUCTIVE SCIENCES & TECHNOLOGIES, CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Sep 1997 (27 years ago) |
| Document Number: | P97000082332 |
| FEI/EIN Number | 65-0783504 |
| Mail Address: | 1122 NW 141St Ave, Pembroke Pines, FL 33028-2362 |
| Address: | 2300 N COMMERCE PARKWAY,, SUITE 319, WESTON, FL 33326 |
| ZIP code: | 33326 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194456764 | 2022-06-23 | 2022-06-23 | 2300 N COMMERCE PKWY STE 319, WESTON, FL, 333263257, US | 2300 N COMMERCE PKWY STE 319, WESTON, FL, 333263257, US | |||||||||||||||||||||
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| Phone | +1 954-217-3456 |
| Fax | 9542173470 |
Authorized person
| Name | MS. LUZ MALDONADO |
| Role | RECOVERY SPECIALIST |
| Phone | 9542173456 |
Taxonomy
| Taxonomy Code | 207VE0102X - Reproductive Endocrinology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | NBCIT |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SELUB, MINNA | Agent | 1122 NW 141St Ave, Pembroke Pines, FL 33028-2362 |
| Name | Role | Address |
|---|---|---|
| SELUB, MINNA | President | 1122 NW 141St Ave, Pembroke Pines, FL 33028-2362 |
| Name | Role | Address |
|---|---|---|
| SELUB, MINNA | Vice President | 1122 NW 141St Ave, Pembroke Pines, FL 33028-2362 |
| Name | Role | Address |
|---|---|---|
| SELUB, MINNA | Secretary | 1122 NW 141St Ave, Pembroke Pines, FL 33028-2362 |
| Name | Role | Address |
|---|---|---|
| SELUB, MINNA | Treasurer | 1122 NW 141St Ave, Pembroke Pines, FL 33028-2362 |
| Name | Role | Address |
|---|---|---|
| SELUB, MINNA | Director | 1122 NW 141St Ave, Pembroke Pines, FL 33028-2362 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000078156 | FIRST-IVF | ACTIVE | 2022-06-29 | 2027-12-31 | No data | 13700 STIRLING ROAD, SW RANCHES, FL, 33330 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-05-01 | 2300 N COMMERCE PARKWAY,, SUITE 319, WESTON, FL 33326 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-01 | 1122 NW 141St Ave, Pembroke Pines, FL 33028-2362 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-21 | 2300 N COMMERCE PARKWAY,, SUITE 319, WESTON, FL 33326 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-21 |
| ANNUAL REPORT | 2019-05-02 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-05-16 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
