| Entity Name: | PALM SPRINGS INTERNAL MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PALM SPRINGS INTERNAL MEDICINE, INC. 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: | 19 Apr 2000 (25 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 20 Apr 2020 (5 years ago) |
| Document Number: | P00000039064 |
| FEI/EIN Number |
651001157
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 180 JFK DRIVE, SUITE 260, ATLANTIS, FL, 33462, US |
| Mail Address: | 180 JFK DRIVE, SUITE 260, ATLANTIS, FL, 33462, US |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851475016 | 2006-10-24 | 2012-12-18 | 5053 S CONGRESS AVE, SUITE 202, LAKE WORTH, FL, 334614706, US | 5053 S CONGRESS AVE, SUITE 202, LAKE WORTH, FL, 334614706, US | |||||||||||||||||||||||||
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| Phone | +1 561-439-4480 |
| Fax | 5616416626 |
Authorized person
| Name | MRS. JUANITA BERMAN |
| Role | OFFICE MANAGER |
| Phone | 5614394480 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME47911 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 061482300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BORNIA MANUEL RMD | President | 180 JFK DRIVE, ATLANTIS, FL, 33462 |
| BORNIA MANUEL RMD | Vice President | 180 JFK DRIVE, ATLANTIS, FL, 33462 |
| BORNIA MANUEL RMD | Secretary | 180 JFK DRIVE, ATLANTIS, FL, 33462 |
| BORNIA MANUEL RMD | Director | 180 JFK DRIVE, ATLANTIS, FL, 33462 |
| SMITH & CO LLC YEEND | Agent | 2365 S CONGRESS AVE, PALM SPRINGS, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-24 | SMITH & CO LLC, YEEND | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-24 | 2365 S CONGRESS AVE, PALM SPRINGS, FL 33406 | - |
| REINSTATEMENT | 2020-04-20 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-12 | 180 JFK DRIVE, SUITE 260, ATLANTIS, FL 33462 | - |
| CHANGE OF MAILING ADDRESS | 2015-01-12 | 180 JFK DRIVE, SUITE 260, ATLANTIS, FL 33462 | - |
| CANCEL ADM DISS/REV | 2003-10-23 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | - | - |
| REINSTATEMENT | 2001-12-07 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-12 |
| REINSTATEMENT | 2020-04-20 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-08-11 |
| ANNUAL REPORT | 2016-01-21 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-03-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6556797000 | 2020-04-07 | 0455 | PPP | 180 JOHN F KENNEDY DR, LAKE WORTH, FL, 33462-6607 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
