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MARTIN MEMORIAL PHYSICIAN CORPORATION, INC.

Company Details

Entity Name: MARTIN MEMORIAL PHYSICIAN CORPORATION, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 30 Dec 1994 (30 years ago)
Document Number: N94000006357
FEI/EIN Number 65-0556041
Address: 200 SE HOSPITAL AVENUE, Stuart, FL, 34994, US
Mail Address: 200 SE HOSPITAL AVENUE, Stuart, FL, 34994, US
ZIP code: 34994
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154962918 2019-10-03 2024-09-17 PO BOX 417, STUART, FL, 349950417, US 3801 S KANNER HWY STE 100, STUART, FL, 349944801, US

Contacts

Phone +1 772-223-2832

Authorized person

Name TIMOTHY L. LONGVILLE
Role CHIEF ACCOUNTING OFFICER/CONTROLLER
Phone 2166367416

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Chie

Name Role Address
Longville Timothy L Chie 200 SE HOSPITAL AVENUE, Stuart, FL, 34994

Secretary

Name Role Address
Del Castillo Barbara Esq. Secretary 200 SE HOSPITAL AVENUE, Stuart, FL, 34994

Assi

Name Role Address
Rochester Charmaine DHA,CPA Assi 200 SE HOSPITAL AVENUE, Stuart, FL, 34994
Oblander R. J Assi 200 SE HOSPITAL AVENUE, Stuart, FL, 34994

Director

Name Role Address
Evans Peter M.D., P Director 200 SE HOSPITAL AVENUE, Stuart, FL, 34994
Khera Surendra LM.D. Director 200 SE HOSPITAL AVENUE, Stuart, FL, 34994

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000134946 CLEVELAND CLINIC MARTIN HEALTH ACTIVE 2019-12-20 2029-12-31 No data 3801 S. KANNER HWY, STUART, FL, 34994
G19000014423 CENTER FOR BARIATRICS AND WEIGHT MANAGEMENT ACTIVE 2019-01-28 2029-12-31 No data C/O LEGAL SERVICES, PO BOX 9010, STUART, FL, 34995
G18000022888 MARTIN HEALTH PHYSICIAN GROUP RHEUMATOLOGY ACTIVE 2018-02-13 2028-12-31 No data C/O LEGAL SERVICES, PO BOX 9010, STUART, FL, 34995
G18000022889 MARTIN HEALTH PHYSICIAN GROUP PULMONOLOGY EXPIRED 2018-02-13 2023-12-31 No data C/O LEGAL SERVICES, PO BOX 9010, STUART, FL, 34995
G17000068859 TRADITION PHARMACY AT MARTIN HEALTH ACTIVE 2017-06-23 2027-12-31 No data 10080 SW INNOVATION WAY, PORT ST. LUCIE, FL, 34987
G15000068492 MARTIN MEMORIAL PHYSICIAN CORPORATION EXPIRED 2015-07-01 2020-12-31 No data C/O CORPORATE COMPLIANCE DEPT.MARTIN, PO BOX 9010, STUART, FL, 34995
G15000068480 MARTIN HEALTH PHYSICIAN GROUP ACTIVE 2015-07-01 2025-12-31 No data P.O.BOX 9010, STUART, FL, 34995
G15000068482 MARTIN HEALTH PHYSICIAN GROUP INTERNAL MEDICINE ACTIVE 2015-07-01 2025-12-31 No data P.O.BOX 9010, STUART, FL, 34995
G15000068493 MARTIN HEALTH PHYSICIAN GROUP PULMONOLOGY EXPIRED 2015-07-01 2020-12-31 No data C/O CORPORATE COMPLIANCE DEPT.MARTIN, PO BOX 9010, STUART, FL, 34995
G15000068486 MARTIN HEALTH PHYSICIAN GROUP SURGERY ACTIVE 2015-07-01 2025-12-31 No data % CORP COMP DEPT MARTIN HEALTH SYSTEM, P.O. BOX 9010, STUART, FL, 34995

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2024-12-20 No data No data
CHANGE OF PRINCIPAL ADDRESS 2024-04-18 200 SE HOSPITAL AVENUE, Stuart, FL 34994 No data
CHANGE OF MAILING ADDRESS 2024-04-18 200 SE HOSPITAL AVENUE, Stuart, FL 34994 No data
REGISTERED AGENT NAME CHANGED 2019-08-28 C T CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2019-08-28 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-06-01
ANNUAL REPORT 2020-06-26
Reg. Agent Change 2019-08-28
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-04-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State