| Entity Name: | MERCY PHYSICIAN GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MERCY PHYSICIAN GROUP, INC. 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: | 26 May 2005 (20 years ago) |
| Date of dissolution: | 29 Mar 2012 (13 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 29 Mar 2012 (13 years ago) |
| Document Number: | P05000077111 |
| FEI/EIN Number |
202970015
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4725 NORTH FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308 |
| Mail Address: | 4725 NORTH FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285743088 | 2006-08-29 | 2020-08-22 | 3661 S MIAMI AVE, SUITE 310, MIAMI, FL, 331334236, US | 3661 S MIAMI AVE, SUITE 301, MIAMI, FL, 331334236, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-285-1017 |
| Fax | 8666524157 |
| Phone | +1 305-285-5090 |
Authorized person
| Name | MR. JOHN MATUSKA |
| Role | CEO |
| Phone | 3058544400 |
Taxonomy
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | ME93096 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 208C00000X - Colon & Rectal Surgery Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JOHNSON JOHN C | Chairman | 4725 NORTH FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308 |
| JOHNSON JOHN C | President | 4725 NORTH FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308 |
| JOHNSON JOHN C | Director | 4725 NORTH FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308 |
| WILFORD LINDA V | Treasurer | 4725 NORTH FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308 |
| WILFORD LINDA V | Director | 4725 NORTH FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308 |
| WORLEY SR. ELIZABETH S | Director | 9401 BISCAYNE BLVD., MIAMI SHORES, FL, 33138 |
| FITZGERALD J P | Director | 110 MERRICK WAY, SUITE 3B, CORAL GABLES, FL, 33131 |
| MARIN TOMAS M | Director | 5400 SW 102 AVE, MIAMI, FL, 33165 |
| WEBBER DALE S | Agent | 401 E. JACKSON ST., STE. 2500, TAMPA, FL, 33602 |
| WORLEY SR. ELIZABETH S | Secretary | 9401 BISCAYNE BLVD., MIAMI SHORES, FL, 33138 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2012-03-29 | - | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS 705193. MERGER NUMBER 700000121447 |
| AMENDMENT | 2011-07-20 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-07-20 | 4725 NORTH FEDERAL HIGHWAY, FORT LAUDERDALE, FL 33308 | - |
| CHANGE OF MAILING ADDRESS | 2011-07-20 | 4725 NORTH FEDERAL HIGHWAY, FORT LAUDERDALE, FL 33308 | - |
| REGISTERED AGENT NAME CHANGED | 2011-07-20 | WEBBER, DALE S | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-07-20 | 401 E. JACKSON ST., STE. 2500, TAMPA, FL 33602 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-02-01 |
| Amendment | 2011-07-20 |
| ANNUAL REPORT | 2011-04-11 |
| ANNUAL REPORT | 2010-03-03 |
| ANNUAL REPORT | 2009-02-13 |
| ANNUAL REPORT | 2008-02-04 |
| ANNUAL REPORT | 2007-02-23 |
| ANNUAL REPORT | 2006-01-31 |
| Domestic Profit | 2005-05-26 |
Date of last update: 01 May 2025
Sources: Florida Department of State
