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SUPERIOR CHOICE PHYSICIANS, INCORPORATED - Florida Company Profile

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Company Details

Entity Name: SUPERIOR CHOICE PHYSICIANS, INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
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: 21 May 2019 (6 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 07 Oct 2021 (4 years ago)
Document Number: N19000005633
FEI/EIN Number 84-1878130

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2519 McMullen Booth Road, Clearwater, FL, 33761, US
Mail Address: 2519 McMullen Booth Road, Clearwater, FL, 33761, US
ZIP code: 33761
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DEJESUS DAVID President 4851 MERLOT AVE, GRAPEVINE, TX, 76051
DEJESUS DAVID Treasurer 4851 MERLOT AVE, GRAPEVINE, TX, 76051
DEJESUS DAVID Director 4851 MERLOT AVE, GRAPEVINE, TX, 76051
CATES PHILLIP Director 4851 MERLOT AVE, GRAPEVINE, TX, 76051
Castle III Robert M Agent 201 S. Biscayne Boulevard, Miami, FL, 331314325

National Provider Identifier

NPI Number:
1902419187
Certification Date:
2022-04-19

Authorized Person:

Name:
DAVID DEJESUS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
2251G0304X - Geriatric Physical Therapist
Is Primary:
No
Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
163WH0200X - Home Health Registered Nurse
Is Primary:
No

Contacts:

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-10-07 - -
CHANGE OF PRINCIPAL ADDRESS 2021-10-07 2519 McMullen Booth Road, 510-203, Clearwater, FL 33761 -
CHANGE OF MAILING ADDRESS 2021-10-07 2519 McMullen Booth Road, 510-203, Clearwater, FL 33761 -
REGISTERED AGENT NAME CHANGED 2021-10-07 Castle III, Robert M. -
REGISTERED AGENT ADDRESS CHANGED 2021-10-07 201 S. Biscayne Boulevard, 3400, Miami, FL 33131-4325 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-03-10
REINSTATEMENT 2021-10-07
ANNUAL REPORT 2020-06-30
Domestic Non-Profit 2019-05-21

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Date of last update: 01 Jun 2025

Sources: Florida Department of State