| Entity Name: | A. DEN BREEIJEN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
A. DEN BREEIJEN, 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: | 20 Jan 2004 (21 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P04000014604 |
| FEI/EIN Number |
200718039
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 14804 NW 140 ST., ALACHUA, FL, 32615 |
| Mail Address: | 14804 NW 140 ST., ALACHUA, FL, 32615 |
| ZIP code: | 32615 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417187808 | 2009-07-20 | 2009-07-21 | 1355 E MAIN ST, LAKELAND, FL, 338015714, US | 1355 E MAIN ST, LAKELAND, FL, 338015714, US | |||||||||||||||||||||||
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| Fax | 8636843824 |
Authorized person
| Name | DR. ARIE DEN BREEIJEN |
| Role | OWNER |
| Phone | 8636828482 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME0010918 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | ME0010918 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEN BREEIJEN ARIE M | Director | 14804 NW 140 ST, ALACHUA, FL, 32615 |
| DEN BREEIJEN ARIE M | Agent | 14804 NW 140 ST, ALACHUA, FL, 3261`5 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| PENDING REINSTATEMENT | 2010-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-09-24 | 14804 NW 140 ST., ALACHUA, FL 32615 | - |
| CHANGE OF MAILING ADDRESS | 2010-09-24 | 14804 NW 140 ST., ALACHUA, FL 32615 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-09-24 | 14804 NW 140 ST, ALACHUA, FL 3261`-5 | - |
| REINSTATEMENT | 2010-09-24 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | - | - |
| CANCEL ADM DISS/REV | 2007-10-29 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000424411 | LAPSED | 1000000139942 | POLK | 2009-09-21 | 2021-07-13 | $ 562.99 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 US HIGHWAY 441 STE 100, ALACHUA FL326156390 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2010-09-24 |
| REINSTATEMENT | 2007-10-29 |
| ANNUAL REPORT | 2006-02-23 |
| ANNUAL REPORT | 2005-02-04 |
| Domestic Profit | 2004-01-20 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
