| Entity Name: | BRENT HAYDEN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BRENT HAYDEN, 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: | 09 Jan 1985 (40 years ago) |
| Document Number: | H37200 |
| FEI/EIN Number |
592488629
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 733 SW STATE ROAD 47, LAKE CITY, FL, 32025 |
| Mail Address: | 1735 NW FRONTIER DR, LAKE CITY, FL, 32055, US |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326373606 | 2009-10-05 | 2012-12-18 | 733 SW STATE ROAD 47, LAKE CITY, FL, 320250453, US | 733 SW STATE ROAD 47, LAKE CITY, FL, 320250453, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 386-755-0645 |
| Fax | 3869619541 |
Authorized person
| Name | DR. DONALD BRENT HAYDEN |
| Role | PRESIDENT |
| Phone | 3867550645 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENCE NUMBER |
| Number | ME0043394 |
| State | FL |
| Issuer | MEDICARE ID-TYPE UNSPECIFIED |
| Number | 12066 |
| State | FL |
| Issuer | MEDICAID |
| Number | 041891900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HAYDEN, BRENT | Agent | 733 SW STATE ROAD 47, LAKE CITY, FL, 32025 |
| HAYDEN, BRENT | President | 733 SW STATE ROAD 47, LAKE CITY, FL, 32025 |
| HAYDEN, BRENT | Director | 733 SW STATE ROAD 47, LAKE CITY, FL, 32025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-20 | 733 SW STATE ROAD 47, LAKE CITY, FL 32025 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-28 | 733 SW STATE ROAD 47, LAKE CITY, FL 32025 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-17 | 733 SW STATE ROAD 47, LAKE CITY, FL 32025 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-24 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-01-19 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4972377003 | 2020-04-04 | 0491 | PPP | 733 SW STATE ROAD 47, LAKE CITY, FL, 32025-0453 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
