| Entity Name: | ST. GEORGE SPINAL CLINIC, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ST. GEORGE SPINAL CLINIC, 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: | 26 Apr 2004 (21 years ago) |
| Document Number: | P04000070563 |
| FEI/EIN Number |
201132386
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4469 N STATE ROUTE 7, LAUDERDALE LAKES, FL, 33319 |
| Mail Address: | 4469 N SR 7, Lauderdale lakes, FL, 33319, US |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609898683 | 2006-07-25 | 2011-08-26 | PO BOX 10693, RIVIERA BEACH, FL, 334190693, US | 4469 N STATE ROAD 7, LAUDERDALE LAKES, FL, 333195876, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 954-486-1966 |
| Fax | 9544869115 |
Authorized person
| Name | DR. WAGDY B. TADROS |
| Role | PHYSICIAN |
| Phone | 9544861966 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME65248 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 2621902 |
| State | FL |
| Issuer | BCBS ID |
| Number | 25940 |
| State | FL |
| Issuer | AVMED |
| Number | 234955 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TADROS WAGDY BMD | Manager | 4469 N SR 7, Lauderdale lakes, FL, 33319 |
| TADROS WAGDY BMD | Director | 4469 N SR 7, Lauderdale lakes, FL, 33319 |
| TADROS WAGDY B | Agent | 6559 NEW PORT LAKE CIRCLE, BOCA RATON, FL, 33496 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-01-08 | 4469 N STATE ROUTE 7, LAUDERDALE LAKES, FL 33319 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-24 | 6559 NEW PORT LAKE CIRCLE, BOCA RATON, FL 33496 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-09 | 4469 N STATE ROUTE 7, LAUDERDALE LAKES, FL 33319 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-27 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
