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A. DEN BREEIJEN, M.D., P.A. - Florida Company Profile

Company Details

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

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

Events

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 - -

Debts

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

Documents

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