| Entity Name: | FAMILY MEDICINE OF MIAMI, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FAMILY MEDICINE OF MIAMI, 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: | 28 Jan 1999 (26 years ago) |
| Document Number: | P99000008576 |
| FEI/EIN Number |
650890981
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9485 SW 72 ST, SUITE A-104, MIAMI, FL, 33173 |
| Mail Address: | 9485 SW 72 ST, SUITE A-104, MIAMI, FL, 33173 |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134235807 | 2006-08-22 | 2012-07-13 | 9485 SW 72ND ST, A-104, MIAMI, FL, 331733242, US | 9485 SW 72ND ST, A-104, MIAMI, FL, 331733242, US | |||||||||||||||||||||||||
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| Phone | +1 305-270-1142 |
| Fax | 3052701151 |
Authorized person
| Name | DR. JOSE ALEJANDRO GOMEZ-RIVERA |
| Role | PHYSICIAN/OWNER |
| Phone | 3052701142 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS6658 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 378322700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GOMEZ-RIVERA JOSE ADr. | President | 9485 SW 72 ST, MIAMI, FL, 33173 |
| GOMEZ-RIVERA JOSE ADr. | Secretary | 9485 SW 72 ST, MIAMI, FL, 33173 |
| GOMEZ-RIVERA JOSE ADr. | Treasurer | 9485 SW 72 ST, MIAMI, FL, 33173 |
| GOMEZ-RIVERA JOSE ADr. | Director | 9485 SW 72 ST, MIAMI, FL, 33173 |
| GOMEZ-RIVERA JOSE A | Agent | 9485 SW 72 ST STE A 104, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-21 | 9485 SW 72 ST, SUITE A-104, MIAMI, FL 33173 | - |
| CHANGE OF MAILING ADDRESS | 2009-01-21 | 9485 SW 72 ST, SUITE A-104, MIAMI, FL 33173 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2006-02-13 | 9485 SW 72 ST STE A 104, MIAMI, FL 33173 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-01-26 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-01-30 |
Date of last update: 02 May 2025
Sources: Florida Department of State
