| Entity Name: | JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 14 Aug 2008 (16 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 15 Oct 2009 (15 years ago) |
| Document Number: | N08000007695 |
| FEI/EIN Number | 263187119 |
| Address: | 1210 SOUTH OLD DIXIE HIGHWAY, JUPITER, FL, 33458, US |
| Mail Address: | 1210 SOUTH OLD DIXIE HIGHWAY, JUPITER, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC., COLORADO | 20231404123 | COLORADO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093344376 | 2020-04-07 | 2020-04-07 | 1210 S OLD DIXIE HWY, JUPITER, FL, 334587205, US | 1002 S OLD DIXIE HWY STE 101, JUPITER, FL, 334587202, US | |||||||||||||||||||||
|
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| Phone | +1 561-263-7411 |
| Fax | 5612637413 |
| Phone | +1 561-852-0038 |
Authorized person
| Name | AMY J BARTON |
| Role | MANAGER, MANAGED CARE |
| Phone | 5612637411 |
Taxonomy
| Taxonomy Code | 2086S0120X - Pediatric Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Rastogi Amit MD | Boar | 1210 S OLD DIXIE HWY, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| HOCKING DALE | Treasurer | 1210 S OLD DIXIE HWY, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| Seeley Steven | Secretary | 1210 S OLD DIXIE HWY, JUPITER, FL, 33458 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000032581 | JMC COMMUNITY CARE | ACTIVE | 2020-03-12 | 2025-12-31 | No data | 1210 S OLD DIXIE HWY, JUPITER, FL, 33458 |
| G16000026986 | JUPITER MEDICAL CENTER CONVENIENT CARE | EXPIRED | 2016-03-14 | 2021-12-31 | No data | 1210 S. OLD DIXIE HIGHWAY, JUPITER, FL, 33458 |
| G13000011287 | JUPITER MEDICAL CENTER URGENT CARE | ACTIVE | 2013-02-01 | 2028-12-31 | No data | 1210 SOUTH OLD DIXIE HIGHWAY, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-19 | 1210 SOUTH OLD DIXIE HIGHWAY, JUPITER, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-19 | 1210 SOUTH OLD DIXIE HIGHWAY, JUPITER, FL 33458 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-05 | NRAI SERVICES, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-05 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CANCEL ADM DISS/REV | 2009-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-06-21 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-04-29 |
| Reg. Agent Change | 2020-03-05 |
| AMENDED ANNUAL REPORT | 2019-11-14 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-04-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
