| Entity Name: | EDDIE A. NEGRON, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
EDDIE A. NEGRON, 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: | 05 Apr 2001 (24 years ago) |
| Date of dissolution: | 29 Oct 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 29 Oct 2020 (4 years ago) |
| Document Number: | P01000034674 |
| FEI/EIN Number |
593711212
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 921 MARWALT DR., FT. WALTON BEACH, FL, 32547 |
| Mail Address: | 921 MARWALT DR., FT. WALTON BEACH, FL, 32547, US |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588796635 | 2007-03-12 | 2020-08-22 | PO BOX 960, SHALIMAR, FL, 325790960, US | 921 MAR WALT DR, FORT WALTON BEACH, FL, 325476759, US | |||||||||||||||||||||||||
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| Phone | +1 850-864-1771 |
| Fax | 8508641716 |
Authorized person
| Name | DR. EDDIE ALBERTO NEGRON |
| Role | OWNER |
| Phone | 8508641771 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME#49544 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 02379 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NEGRON EDDIE A | Director | 921 MARWALT DR., FT. WALTON BEACH, FL, 32547 |
| NEGRON JASON E | Agent | 33 LAKE LORRAINE CR., SHALIMAR, FL, 32579 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2020-10-29 | - | - |
| CHANGE OF MAILING ADDRESS | 2018-04-12 | 921 MARWALT DR., FT. WALTON BEACH, FL 32547 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-12 | 33 LAKE LORRAINE CR., SHALIMAR, FL 32579 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-03 | 921 MARWALT DR., FT. WALTON BEACH, FL 32547 | - |
| REGISTERED AGENT NAME CHANGED | 2005-04-13 | NEGRON, JASON E | - |
| Name | Date |
|---|---|
| CORAPVDWN | 2020-10-29 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-03-21 |
| ANNUAL REPORT | 2013-04-15 |
| ANNUAL REPORT | 2012-03-19 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
