| Entity Name: | FERTILITY & IVF CENTER OF MIAMI, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Jan 1991 (34 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Nov 1997 (27 years ago) |
| Document Number: | S24432 |
| FEI/EIN Number | 65-0236322 |
| Address: | 8950 NO. KENDALL DR., STE. 103, MIAMI, FL 33176 |
| Mail Address: | 8950 NO. KENDALL DR., STE. 103, MIAMI, FL 33176 |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881881241 | 2007-10-01 | 2007-10-01 | 8950 N KENDALL DR, STE 103, MIAMI, FL, 331762197, US | 8950 N KENDALL DR, STE 103, MIAMI, FL, 331762197, US | |||||||||||||||||||||||
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| Phone | +1 305-596-4013 |
| Fax | 3055964557 |
Authorized person
| Name | MICHAEL HARRIS JACOBS |
| Role | MEDICAL DIRECTOR |
| Phone | 3055964013 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 00518 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FERTILITY & IVF CENTER OF MIAMI GHT BENEFIT PLAN | 2023 | 650236322 | 2024-01-30 | FERTILITY & IVF CENTER OF MIAMI | 22 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 851828091 |
| Plan administrator’s name | MARILU RIOS |
| Plan administrator’s address | 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131 |
| Administrator’s telephone number | 3053507700 |
Signature of
| Role | Plan administrator |
| Date | 2024-01-30 |
| Name of individual signing | MARILU RIOS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| AMADO, MARIA ELENA | Agent | 8950 NO. KENDALL DR., STE. 103, MIAMI, FL 33176 |
| Name | Role | Address |
|---|---|---|
| AKERMAN, FERNANDO M | President | 8950 N KENDALL DR #103, MIAMI, FL 33176 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000151370 | FERTILITY CENTER OF MIAMI | ACTIVE | 2021-11-11 | 2026-12-31 | No data | 8950 NO. KENDALL DR., STE. 103, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 1998-03-10 | AMADO, MARIA ELENA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1998-03-10 | 8950 NO. KENDALL DR., STE. 103, MIAMI, FL 33176 | No data |
| REINSTATEMENT | 1997-11-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1992-07-09 | 8950 NO. KENDALL DR., STE. 103, MIAMI, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 1992-07-09 | 8950 NO. KENDALL DR., STE. 103, MIAMI, FL 33176 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-01-31 |
| AMENDED ANNUAL REPORT | 2021-08-31 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-01-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1988748407 | 2021-02-03 | 0455 | PPS | 8950 N Kendall Dr Ste 103, Miami, FL, 33176-2131 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5669177701 | 2020-05-01 | 0455 | PPP | 8950 N KENDALL DR STE 103, MIAMI, FL, 33176-2131 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
