| Entity Name: | OM SINGH MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Nov 2005 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Dec 2010 (14 years ago) |
| Document Number: | P05000151171 |
| FEI/EIN Number | 203788700 |
| Address: | 2828 SOUTH SEACREST BLVD, SUITE 101, BOYNTON BEACH, FL, 33435, US |
| Mail Address: | 2828 SOUTH SEACREST BLVD, SUITE 101, BOYNTON BEACH, FL, 33435, US |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356448963 | 2006-09-19 | 2007-09-24 | 2828 S SEACREST BLVD STE 101, BOYNTON BEACH, FL, 334357944, US | 2828 S SEACREST BLVD STE 101, BOYNTON BEACH, FL, 334357944, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 561-736-1070 |
| Fax | 5617385721 |
Authorized person
| Name | OM PRAKASH SINGH |
| Role | PRESIDENT |
| Phone | 5617361070 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 14340 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SINGH OM | Agent | 2828 SOUTH SEACREST BLVD, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| SINGH OM | President | 2828 SOUTH SEACREST BLVD #101, BOYNTON BEACH, FL, 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-03-02 | SINGH, OM | No data |
| REINSTATEMENT | 2010-12-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2009-02-04 | OM SINGH MEDICAL CENTER, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-08-07 | 2828 SOUTH SEACREST BLVD, SUITE 101, BOYNTON BEACH, FL 33435 | No data |
| CHANGE OF MAILING ADDRESS | 2006-08-07 | 2828 SOUTH SEACREST BLVD, SUITE 101, BOYNTON BEACH, FL 33435 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-08-07 | 2828 SOUTH SEACREST BLVD, SUITE 101, BOYNTON BEACH, FL 33435 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-09-09 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-01-29 |
| ANNUAL REPORT | 2016-02-08 |
| ANNUAL REPORT | 2015-02-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2641238402 | 2021-02-03 | 0455 | PPS | 2828 S Seacrest Blvd Ste 101, Boynton Beach, FL, 33435-7944 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5695877703 | 2020-05-01 | 0455 | PPP | 2828 S SEACREST BLVD STE 101, BOYNTON BEACH, FL, 33435-7944 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 Feb 2025
Sources: Florida Department of State
