| Entity Name: | MICHELLE MCLANAHAN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MICHELLE MCLANAHAN, 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: |
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: | 26 Mar 2001 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Oct 2023 (2 years ago) |
| Document Number: | P01000030346 |
| FEI/EIN Number |
593706872
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12863 BRODICK CT, JACKSONVILLE, FL, 32224, US |
| Mail Address: | 12863 BRODICK CT, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225226038 | 2007-10-05 | 2012-03-09 | 8075 GATE PKWY W, #305, JACKSONVILLE, FL, 322163684, US | 8075 GATE PKWY W, #305, JACKSONVILLE, FL, 322163684, US | |||||||||||||||||||||||||
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| Phone | +1 904-296-2992 |
| Fax | 9042962993 |
Authorized person
| Name | DR. MICHELLE MCLANAHAN |
| Role | OWNER |
| Phone | 9042962992 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME69467 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002817200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCLANAHAN MICHELLE ADr. | Vice President | 8075 GATE PARKWAY WEST, JACKSONVILLE, FL, 32216 |
| DERBABIAN DAVID ADr. | President | 8075 GATE PARKWAY WEST, JACKSONVILLE, FL, 32216 |
| DERBABIAN JOSHUA A | Secretary | 8075 GATE PARKWAY WEST, JACKSONVILLE, FL, 32216 |
| DERBABIAN DR DAVID | Agent | 12863 BRODICK CT, JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-11-02 | 12863 BRODICK CT, JACKSONVILLE, FL 32224 | - |
| CHANGE OF MAILING ADDRESS | 2023-11-02 | 12863 BRODICK CT, JACKSONVILLE, FL 32224 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-26 | 12863 BRODICK CT, JACKSONVILLE, FL 32224 | - |
| REINSTATEMENT | 2023-10-26 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| REINSTATEMENT | 2022-12-23 | - | - |
| REGISTERED AGENT NAME CHANGED | 2022-12-23 | DERBABIAN, DR DAVID | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-11 |
| ANNUAL REPORT | 2024-03-16 |
| REINSTATEMENT | 2023-10-26 |
| REINSTATEMENT | 2022-12-23 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-03-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1242187707 | 2020-05-01 | 0491 | PPP | 8075 GATE PKWY W STE 305, JACKSONVILLE, FL, 32216 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
