| Entity Name: | ANTONIO E. BLANCO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ANTONIO E. BLANCO, M.D., 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: | 31 Aug 1999 (26 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 09 Apr 2012 (13 years ago) |
| Document Number: | P99000077496 |
| FEI/EIN Number |
650945301
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11440 N KENDALL DRIVE, SUITE 308, MIAMI, FL, 33176, US |
| Mail Address: | 11440 N KENDALL DRIVE, SUITE 308, MIAMI, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144315300 | 2006-10-04 | 2013-06-13 | 30334 OLD DIXIE HWY, HOMESTEAD, FL, 330333215, US | 30334 OLD DIXIE HWY, HOMESTEAD, FL, 330333215, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 786-243-0149 |
| Fax | 7862432612 |
| Phone | +1 305-271-7660 |
| Fax | 3052717599 |
Authorized person
| Name | DR. ANTONIO E BLANCO |
| Role | PHYSICIAN |
| Phone | 3052793955 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0057421 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 257737201 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BLANCO ANTONIO E | President | 11440 N KENDALL DRIVE, MIAMI, FL, 33176 |
| BLANCO ANTONIO E | Director | 11440 N KENDALL DRIVE, MIAMI, FL, 33176 |
| BLANCO ANTONIO E | Agent | 11440 N KENDALL DRIVE, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-30 | 11440 N KENDALL DRIVE, SUITE 308, MIAMI, FL 33176 | - |
| CHANGE OF MAILING ADDRESS | 2015-04-30 | 11440 N KENDALL DRIVE, SUITE 308, MIAMI, FL 33176 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-30 | 11440 N KENDALL DRIVE, SUITE 308, MIAMI, FL 33176 | - |
| AMENDMENT | 2012-04-09 | - | - |
| REINSTATEMENT | 2003-06-09 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
