| Entity Name: | ANA M. HERNANDEZ, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Apr 1998 (27 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P98000031553 |
| FEI/EIN Number | 650825351 |
| Address: | 12440 Biscayne Blvd, North Miami, FL, 33181, US |
| Mail Address: | ANA M. HERNANDEZ, 107 Westward Drive #95, Miami Springs, FL, 33266, US |
| ZIP code: | 33181 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386835742 | 2007-08-09 | 2007-10-09 | 601 NW 179TH AVE, SUITE # 104, PEMBROKE PINES, FL, 330292819, US | 601 NW 179TH AVE, SUITE # 104, PEMBROKE PINES, FL, 330292819, US | |||||||||||||||||||
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| Phone | +1 954-441-7696 |
| Fax | 9544417967 |
Authorized person
| Name | ANA M HERNANDEZ |
| Role | DOCTOR |
| Phone | 9544417696 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS6651 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ ANA MDO | Agent | 12440 Biscayne Blvd, North Miami, FL, 33181 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ ANA M | Director | 107 Westward Drive #95, Miami Springs, FL, 33266 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ ANA M | Officer | 107 Westward Drive #95, Miami Springs, FL, 33266 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000111053 | YOUTHFUL AGING CENTER | EXPIRED | 2009-05-27 | 2024-12-31 | No data | 107 WESTWARD DRIVE, #95, MIAMI SPRINGS, FL, 33266 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-17 | 12440 Biscayne Blvd, North Miami, FL 33181 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-30 | 12440 Biscayne Blvd, North Miami, FL 33181 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-03-30 | HERNANDEZ, ANA M., DO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-30 | 12440 Biscayne Blvd, North Miami, FL 33181 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-19 |
| ANNUAL REPORT | 2020-02-08 |
| ANNUAL REPORT | 2019-01-17 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-21 |
| ANNUAL REPORT | 2015-04-21 |
| ANNUAL REPORT | 2014-03-24 |
| ANNUAL REPORT | 2013-03-30 |
| ANNUAL REPORT | 2012-04-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
