| Entity Name: | SEACREST MEDICAL GROUP, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SEACREST MEDICAL GROUP, PA 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: | 17 May 2007 (18 years ago) |
| Document Number: | P07000059257 |
| FEI/EIN Number |
260184592
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2848 SOUTH SEACREST BLVD, BOYNTON BEACH, FL, 33435, US |
| Mail Address: | 2848 s seacrest blvd, 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700088911 | 2007-06-01 | 2020-10-14 | 2848 S SEACREST BLVD, BOYNTON BEACH, FL, 334357935, US | 2848 S SEACREST BLVD, BOYNTON BEACH, FL, 334357935, US | |||||||||||||||||||
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| Phone | +1 561-738-7611 |
| Fax | 5617387622 |
Authorized person
| Name | JEAN RICHARD ETIENNE |
| Role | PHYSICIAN |
| Phone | 5617387611 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME94948 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ETIENNE JEAN R | President | 2848 s seacrest blvd, BOYNTON BEACH, FL, 33435 |
| ETIENNE JEAN R | Agent | 2848 s seacrest blvd, BOYNTON BEACH, FL, 33435 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000066399 | SEACREST MEDICAL OFFICE DIAGNOSTIC | ACTIVE | 2020-06-12 | 2025-12-31 | - | 2848 S. SEACREST BLVD, BOYNTON BEACH, FL, 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-26 | 2848 SOUTH SEACREST BLVD, BOYNTON BEACH, FL 33435 | - |
| CHANGE OF MAILING ADDRESS | 2014-02-26 | 2848 SOUTH SEACREST BLVD, BOYNTON BEACH, FL 33435 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-26 | 2848 s seacrest blvd, BOYNTON BEACH, FL 33435 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-03 |
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-05-27 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-03-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2181307706 | 2020-05-01 | 0455 | PPP | 2828 S. Seacrest Blvd, Ste 102, Boynton Beach, FL, 33435 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
