| Entity Name: | CARMI Y. STADLAN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CARMI Y. STADLAN, 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: | 14 Jan 2003 (22 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 02 Apr 2009 (16 years ago) |
| Document Number: | P03000004910 |
| FEI/EIN Number |
050549137
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 122A JFK DRIVE, ATLANTIS, FL, 33462, US |
| Mail Address: | 22155 TRILLIUM WAY, BOCA RATON, FL, 33433 |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740236165 | 2006-05-26 | 2015-06-03 | 122A JFK DR, LAKE WORTH, FL, 334626606, US | 122A JFK DR, LAKE WORTH, FL, 334626606, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-969-3795 |
| Fax | 5619693771 |
Authorized person
| Name | DR. CARMI Y STADLAN |
| Role | PRESIDENT |
| Phone | 5619693795 |
Taxonomy
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | ME69654 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 379642600 |
| State | FL |
| Issuer | MEDICARE |
| Number | Q0054 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOWERS STEVEN G | Agent | 2000 GLADES RD, STE 300, BOCA RATON, FL, 33431 |
| STADLAN CARMI Y | Director | 22155 TRILLIUM WAY, BOCA RATON, FL, 33433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-06-29 | BOWERS, STEVEN G | - |
| CANCEL ADM DISS/REV | 2009-04-02 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-02 | 122A JFK DRIVE, ATLANTIS, FL 33462 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9465997805 | 2020-06-08 | 0455 | PPP | 22155 TRILLIUM WAY, BOCA RATON, FL, 33433-4843 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
