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

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Company Details

Entity Name: EVEREST MEDICAL CARE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Mar 2006 (19 years ago)
Document Number: P06000043446
FEI/EIN Number 204680164
Address: 4296 5TH AVENUE, MARIANNA, FL, 32446
Mail Address: 4296 5TH AVENUE, MARIANNA, FL, 32446
ZIP code: 32446
City: Marianna
County: Jackson
Place of Formation: FLORIDA

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

National Provider Identifier

NPI Number:
1033174594

Authorized Person:

Name:
MS. MARGARET M CARTER
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
No
Selected Taxonomy:
207RS0012X - Sleep Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No

Contacts:

Fax:
8504826617

Form 5500 Series

Employer Identification Number (EIN):
204680164
Plan Year:
2019
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
14
Sponsors Telephone Number:

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

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Date of last update: 02 Aug 2025

Sources: Florida Department of State