| Entity Name: | IVAN GUERRERO MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
IVAN GUERRERO MD, 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: | 03 Aug 2007 (18 years ago) |
| Document Number: | P07000087813 |
| FEI/EIN Number |
260655426
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6817 Southpoint Parkway, Suite 802, JACKSONVILLE, FL, 32216, US |
| Mail Address: | P.O. Box 551272, JACKSONVILLE, FL, 32255, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053508184 | 2007-10-03 | 2015-05-21 | PO BOX 551272, JACKSONVILLE, FL, 322551272, US | 6817 SOUTHPOINT PKWY, SUITE 502, JACKSONVILLE, FL, 322166282, US | |||||||||||||||||||||||||
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| Phone | +1 904-646-3017 |
| Fax | 9046461501 |
Authorized person
| Name | IVAN A GUERRERO |
| Role | PRESIDENT |
| Phone | 9046461987 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME82361 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000802800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GUERRERO IVAN A | Director | 10120 Ecton Lane, JACKSONVILLE, FL, 32246 |
| GUERRERO IVAN A | President | 10120 Ecton Lane, JACKSONVILLE, FL, 32246 |
| GUERRERO IVAN | Agent | 10120 Ecton Lane, JACKSONVILLE, FL, 32246 |
| Wendy Lu | Director | 8825 Perimeter Park Blvd, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-09 | 6817 Southpoint Parkway, Suite 802, JACKSONVILLE, FL 32216 | - |
| CHANGE OF MAILING ADDRESS | 2014-04-03 | 6817 Southpoint Parkway, Suite 802, JACKSONVILLE, FL 32216 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-03 | 10120 Ecton Lane, JACKSONVILLE, FL 32246 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-02-28 |
| ANNUAL REPORT | 2019-01-10 |
| ANNUAL REPORT | 2018-03-09 |
| ANNUAL REPORT | 2017-03-02 |
| ANNUAL REPORT | 2016-03-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5434337707 | 2020-05-01 | 0491 | PPP | 6817 SOUTHPOINT PKWY STE 802, JACKSONVILLE, FL, 32216-6292 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
