Search icon

EVEREST MEDICAL CARE, P.A. - Florida Company Profile

Company Details

Entity Name: EVEREST MEDICAL CARE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

EVEREST MEDICAL CARE, 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: 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: 24 Mar 2006 (19 years ago)
Document Number: P06000043446
FEI/EIN Number 204680164

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

Address: 4296 5TH AVENUE, MARIANNA, FL, 32446
Mail Address: 4296 5TH AVENUE, MARIANNA, FL, 32446
ZIP code: 32446
County: Jackson
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033174594 2006-04-19 2013-12-12 4296 5TH AVE, MARIANNA, FL, 324462173, US 4296 5TH AVE, MARIANNA, FL, 324462173, US

Contacts

Phone +1 850-482-2061
Fax 8504826617

Authorized person

Name MS. MARGARET M CARTER
Role OFFICE MANAGER
Phone 8504822061

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME77246
State FL
Is Primary Yes
Taxonomy Code 207RG0300X - Geriatric Medicine (Internal Medicine) Physician
License Number ME77246
State FL
Is Primary No
Taxonomy Code 207RP1001X - Pulmonary Disease Physician
License Number ME77246
State FL
Is Primary No
Taxonomy Code 207RS0012X - Sleep Medicine (Internal Medicine) Physician
License Number ME77246
State FL
Is Primary No
Taxonomy Code 208D00000X - General Practice Physician
License Number ME27861
State FL
Is Primary No
Taxonomy Code 363AM0700X - Medical Physician Assistant
License Number PA9101074
State FL
Is Primary No
Taxonomy Code 363LG0600X - Gerontology Nurse Practitioner
License Number ARNP3033052
State FL
Is Primary No
Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
License Number ARNP1903302
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EVEREST MEDICAL CARE, P.A. 401(K) PLAN 2019 204680164 2020-10-13 EVEREST MEDICAL CARE, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8504822061
Plan sponsor’s address 4296 5TH AVENUE, MARIANNA, FL, 32446

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing MARGARET CARTER
Valid signature Filed with authorized/valid electronic signature
EVEREST MEDICAL CARE, P.A. 401(K) PLAN 2017 204680164 2018-06-11 EVEREST MEDICAL CARE, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8504822061
Plan sponsor’s address 4296 5TH AVENUE, MARIANNA, FL, 32446

Signature of

Role Plan administrator
Date 2018-06-11
Name of individual signing MARGARET CARTER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CHINTANADILOK JIRAYOS M Director 4296 5TH AVENUE, MARIANNA, FL, 32446
CHINTANADILOK SUTTHANOM Agent 2402 NW27TH TER, GAINESVILLE, FL, 32605

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-05-01 4296 5TH AVENUE, MARIANNA, FL 32446 -
CHANGE OF MAILING ADDRESS 2025-05-01 4296 5TH AVENUE, MARIANNA, FL 32446 -
REGISTERED AGENT NAME CHANGED 2022-09-06 CHINTANADILOK, SUTTHANOM -
REGISTERED AGENT ADDRESS CHANGED 2022-09-06 2402 NW27TH TER, GAINESVILLE, FL 32605 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-09-06
ANNUAL REPORT 2021-09-08
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-02-17

Date of last update: 02 Apr 2025

Sources: Florida Department of State