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JOHN R. BRENT, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: JOHN R. BRENT, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JOHN R. BRENT, 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: 16 May 2005 (20 years ago)
Date of dissolution: 30 May 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 30 May 2023 (2 years ago)
Document Number: P05000071647
FEI/EIN Number 870747597

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1032 MAR WALT DRIVE, SUITE 220, FORT WALTON BEACH, FL, 32547
Mail Address: 1032 MAR WALT DRIVE, SUITE 220, FORT WALTON BEACH, FL, 32547
ZIP code: 32547
City: Fort Walton Beach
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BRENT JOHN, R M Agent 1032 MAR WALT DR, FORT WALTON BEACH, FL, 32547
BRENT JOHN R Vice President 1032 MAR WALT DRIVE, SUITE 220, FORT WALTON BEACH, FL, 32547
BRENT JOHN R Secretary 1032 MAR WALT DRIVE, SUITE 220, FORT WALTON BEACH, FL, 32547
BRENT JOHN R Treasurer 1032 MAR WALT DRIVE, SUITE 220, FORT WALTON BEACH, FL, 32547
BRENT JOHN R President 1032 MAR WALT DRIVE, SUITE 220, FORT WALTON BEACH, FL, 32547

National Provider Identifier

NPI Number:
1679762611

Authorized Person:

Name:
JOHN R BRENT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
8507963739

Form 5500 Series

Employer Identification Number (EIN):
870747597
Plan Year:
2009
Number Of Participants:
2
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000114143 FLORIDA POT DOCTOR EXPIRED 2016-10-19 2021-12-31 - 1032 MAR WALT DRIVE 220, FORT WALTON BEACH, FL, 32547
G16000114145 THE POT DOCTOR EXPIRED 2016-10-19 2021-12-31 - 1032 MAR WALT DRIVE 220, FORT WALTON BEACH, FL, 32547

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-05-30 - -
REINSTATEMENT 2021-04-02 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
REINSTATEMENT 2018-02-07 - -
REGISTERED AGENT NAME CHANGED 2018-02-07 BRENT, JOHN, R M.D. -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -
REGISTERED AGENT ADDRESS CHANGED 2007-04-13 1032 MAR WALT DR, STE 220, FORT WALTON BEACH, FL 32547 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J22000169658 TERMINATED 1000000919958 OKALOOSA 2022-03-30 2032-04-05 $ 611.69 STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 2205 LA VISTA AVE STE B, PENSACOLA FL325048210

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-05-30
ANNUAL REPORT 2022-07-17
REINSTATEMENT 2021-04-02
REINSTATEMENT 2018-02-07
ANNUAL REPORT 2016-01-20
ANNUAL REPORT 2015-02-23
ANNUAL REPORT 2014-01-15
ANNUAL REPORT 2013-06-12
ANNUAL REPORT 2012-03-22
ANNUAL REPORT 2011-02-18

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$151,400
Date Approved:
2020-05-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$151,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$27,975.03
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $151,400

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Date of last update: 03 Jul 2025

Sources: Florida Department of State