| Entity Name: | NASSBERG DIABETES ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
NASSBERG DIABETES ASSOCIATES, 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: | 09 Aug 2000 (25 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 16 Apr 2018 (7 years ago) |
| Document Number: | P00000075455 |
| FEI/EIN Number |
651029746
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5333 N. Dixie Hwy, Suite 205, Oakland Park, FL, 33334, US |
| Mail Address: | 5333 N. Dixie Hwy, Suite 205, Oakland Park, FL, 33334, US |
| ZIP code: | 33334 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1891000543 | 2010-08-18 | 2023-12-28 | 5333 N DIXIE HWY STE 205, OAKLAND PARK, FL, 333343454, US | 5333 N DIXIE HWY STE 205, OAKLAND PARK, FL, 333343454, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-491-1000 |
| Fax | 9549387923 |
Authorized person
| Name | BETH CAMHI-GREENBERG |
| Role | OWNER |
| Phone | 9544911000 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME16517 |
| State | FL |
| Issuer | RN LICENSE |
| Number | RN9490906 |
| State | FL |
| Issuer | NATIONAL PROVIDER ID |
| Number | 1215363593 |
| State | FL |
| Issuer | NATIONAL PROVIDER |
| Number | 1710957832 |
| State | SC |
| Issuer | NATIONAL PROVIDER ID |
| Number | 1538301437 |
| State | FL |
| Issuer | LICENSE |
| Number | 9365653 |
| State | FL |
| Issuer | NATIONAL PROVIDER ID |
| Number | 1508572736 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Edgerton Eric | President | 5333 N. Dixie Hwy, Oakland Park, FL, 33334 |
| Edgerton Eric | Director | 5333 N. Dixie Hwy, Oakland Park, FL, 33334 |
| Edgerton Eric Manager | Agent | 5333 N. Dixie Hwy, Oakland Park, FL, 33334 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000023146 | FLORIDA DIABETES & ENDOCRINOLOGY | ACTIVE | 2025-02-15 | 2030-12-31 | - | 6908 NEOPOLITAN CT, APOLLO BEACH, FL, 33572 |
| G25000023145 | NASSBERG DIABETES ASSOCIATES, INC. | ACTIVE | 2025-02-15 | 2030-12-31 | - | 6908 NEOPOLITAN CT, APOLLO BEACH, FL, 33572 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-07 | 5333 N. Dixie Hwy, Suite 205, Oakland Park, FL 33334 | - |
| CHANGE OF MAILING ADDRESS | 2025-01-07 | 5333 N. Dixie Hwy, Suite 205, Oakland Park, FL 33334 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-08 | 5333 N. Dixie Hwy, Suite 205, Oakland Park, FL 33334 | - |
| NAME CHANGE AMENDMENT | 2018-04-16 | NASSBERG DIABETES ASSOCIATES, INC. | - |
| REGISTERED AGENT NAME CHANGED | 2018-04-16 | CAMHI-GREENBERG, BETH | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| Reg. Agent Change | 2023-12-18 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-05 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-25 |
| Name Change | 2018-04-16 |
| ANNUAL REPORT | 2017-01-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5665277710 | 2020-05-01 | 0455 | PPP | SUITE # 309 1930 NE 47TH ST STE 309, FORT LAUDERDALE, FL, 33308-7729 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 May 2025
Sources: Florida Department of State
