| Entity Name: | JEFFREY MARK GROSSMAN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JEFFREY MARK GROSSMAN, M.D., P.A. 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 09 Mar 2001 (24 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P01000024833 |
| FEI/EIN Number |
651083730
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 920 37TH PLACE, SUITE 103, VERO BEACH, FL, 32960 |
| Mail Address: | 920 37TH PLACE, SUITE 103, VERO BEACH, FL, 32960 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205128667 | 2011-05-04 | 2011-05-04 | 920 37TH PL STE 103, VERO BEACH, FL, 329606595, US | 920 37TH PL STE 103, VERO BEACH, FL, 329606595, US | |||||||||||||||||||||||||||
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| Phone | +1 772-299-4046 |
| Fax | 7722990419 |
Authorized person
| Name | DR. JEFFREY MARK GROSSMAN |
| Role | PRESIDENT |
| Phone | 7722994046 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME64361 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 23048 |
| Issuer | INDIVIDUAL NPI |
| Number | 1639159288 |
| Name | Role | Address |
|---|---|---|
| GROSSMAN JEFFREY M | President | 920 37TH PLACE STE 103, VERO BEACH, FL, 32960 |
| GROSSMAN JEFFREY M | Director | 920 37TH PLACE STE 103, VERO BEACH, FL, 32960 |
| GROSSMAN JEFFREY M | Agent | 920 37TH PLACE, VERO BEACH, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-18 | 920 37TH PLACE, SUITE 103, VERO BEACH, FL 32960 | - |
| CHANGE OF MAILING ADDRESS | 2011-04-18 | 920 37TH PLACE, SUITE 103, VERO BEACH, FL 32960 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-18 | 920 37TH PLACE, SUITE 103, VERO BEACH, FL 32960 | - |
| REGISTERED AGENT NAME CHANGED | 2002-03-26 | GROSSMAN, JEFFREY M | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-20 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-04-15 |
| ANNUAL REPORT | 2012-04-19 |
| ANNUAL REPORT | 2011-04-18 |
| ANNUAL REPORT | 2010-04-13 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
