| Entity Name: | DELTA HEALTH, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DELTA HEALTH, PA 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: | 12 Nov 2003 (21 years ago) |
| Document Number: | P03000130976 |
| FEI/EIN Number |
200403832
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12106 CORTEZ BLVD., BROOKSVILLE, FL, 34613, US |
| Mail Address: | 12106 CORTEZ BLVD., BROOKSVILLE, FL, 34613, US |
| ZIP code: | 34613 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982890174 | 2007-09-20 | 2021-12-02 | 12106 CORTEZ BLVD, BROOKSVILLE, FL, 346135514, US | 12106 CORTEZ BLVD, BROOKSVILLE, FL, 346135514, US | |||||||||||||||||||||||||
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| Phone | +1 352-597-0022 |
| Fax | 3525970086 |
Authorized person
| Name | DR. MAHMOUD BOURGHLI |
| Role | OWNER |
| Phone | 3525970022 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | ME79929 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE GROUP ID |
| Number | K5212 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELTA HEALTH PA 401(K) PLAN | 2023 | 200403832 | 2024-09-10 | DELTA HEALTH PA | 4 | |||||||||||||
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| DELTA HEALTH PA 401(K) PLAN | 2022 | 200403832 | 2023-09-07 | DELTA HEALTH PA | 4 | |||||||||||||
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| DELTA HEALTH PA 401(K) PLAN | 2021 | 200403832 | 2022-10-14 | DELTA HEALTH PA | 3 | |||||||||||||
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| DELTA HEALTH PA 401(K) PLAN | 2020 | 200403832 | 2021-10-13 | DELTA HEALTH PA | 3 | |||||||||||||
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| DELTA HEALTH PA 401(K) PLAN | 2019 | 200403832 | 2020-09-14 | DELTA HEALTH PA | 3 | |||||||||||||
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| DELTA HEALTH PA 401(K) PLAN | 2018 | 200403832 | 2019-10-10 | DELTA HEALTH PA | 3 | |||||||||||||
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| DELTA HEALTH PA 401(K) PLAN | 2017 | 200403832 | 2018-10-13 | DELTA HEALTH PA | 3 | |||||||||||||
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| DELTA HEALTH PA 401(K) PLAN | 2016 | 200403832 | 2017-10-24 | DELTA HEALTH PA | 3 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| BOURGHLI MAHMOUD | President | 12106 CORTEZ BLVD., BROOKSVILLE, FL, 34613 |
| BOURGHLI MAHMOUD | Secretary | 12106 CORTEZ BLVD., BROOKSVILLE, FL, 34613 |
| BOURGHLI MAHMOUD | Treasurer | 12106 CORTEZ BLVD., BROOKSVILLE, FL, 34613 |
| BOURGHLI MAHMOUD | Agent | 12106 CORTEZ BLVD., BROOKSVILLE, FL, 34613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-18 | 12106 CORTEZ BLVD., BROOKSVILLE, FL 34613 | - |
| CHANGE OF MAILING ADDRESS | 2019-02-18 | 12106 CORTEZ BLVD., BROOKSVILLE, FL 34613 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-18 | 12106 CORTEZ BLVD., BROOKSVILLE, FL 34613 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-04-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9638398002 | 2020-07-08 | 0491 | PPP | 12106 Cortez Blvd., Brooksville, FL, 34613 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8328428608 | 2021-03-24 | 0491 | PPS | 12106 Cortez Blvd, Brooksville, FL, 34613-5514 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
