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JASON GREEN, DO, PA - Florida Company Profile

Company Details

Entity Name: JASON GREEN, DO, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JASON GREEN, DO, 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 Jun 2008 (17 years ago)
Document Number: P08000054660
FEI/EIN Number 262792350

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

Address: 260 SW Natura Avenue, Suite 101, Deerfield Beach, FL, 33441, US
Mail Address: 260 SW Natura Avenue, Suite 101, Deerfield Beach, FL, 33441, US
ZIP code: 33441
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649726316 2016-08-31 2016-08-31 260 SW NATURA AVE, SUITE 101, DEERFIELD BEACH, FL, 334413026, US 260 SW NATURA AVE, SUITE 101, DEERFIELD BEACH, FL, 334413026, US

Contacts

Phone +1 954-481-0650
Fax 9544810651

Authorized person

Name DR. JASON GREEN
Role PHYSICIAN/OWNER
Phone 9544810650

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number OS 88871
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
GREEN JASON B President 729 NE BOCA BAY COLONY DRIVE, BOCA RATON, FL, 33487
GREEN JASON B Agent 729 NE BOCA BAY COLONY DRIVE, BOCA RATON, FL, 33487

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000122697 DEERFIELD BEACH PATHOLOGY ACTIVE 2022-09-29 2027-12-31 - 260 SW NATURA AVE, SUITE 101, DEERFIELD BEACH, FL, 33441
G16000067149 GREEN DERMATOLOGY & COSMETIC CENTER ACTIVE 2016-07-08 2026-12-31 - 260 SW NATURA AVE #101, #101, DEERFIELD BEACH, FL, 33441

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-04-11 729 NE BOCA BAY COLONY DRIVE, BOCA RATON, FL 33487 -
CHANGE OF PRINCIPAL ADDRESS 2017-03-21 260 SW Natura Avenue, Suite 101, Deerfield Beach, FL 33441 -
CHANGE OF MAILING ADDRESS 2017-03-21 260 SW Natura Avenue, Suite 101, Deerfield Beach, FL 33441 -

Documents

Name Date
ANNUAL REPORT 2024-02-24
ANNUAL REPORT 2023-01-21
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-03-26
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-03-31
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-04-13
ANNUAL REPORT 2015-02-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3597098404 2021-02-05 0455 PPS 729 NE Boca Bay Colony Dr, Boca Raton, FL, 33487-1727
Loan Status Date 2022-01-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 20832
Loan Approval Amount (current) 20832
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67422
Servicing Lender Name First Horizon Bank
Servicing Lender Address 165 Madison Ave, MEMPHIS, TN, 38103-2723
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Boca Raton, PALM BEACH, FL, 33487-1727
Project Congressional District FL-23
Number of Employees 1
NAICS code 621511
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 67422
Originating Lender Name First Horizon Bank
Originating Lender Address MEMPHIS, TN
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 20948.89
Forgiveness Paid Date 2021-09-07
9633167008 2020-04-09 0455 PPP 260 SW NATURA AVENUE #101, DEERFIELD BEACH, FL, 33441-3026
Loan Status Date 2021-07-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 20800
Loan Approval Amount (current) 20800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67422
Servicing Lender Name First Horizon Bank
Servicing Lender Address 165 Madison Ave, MEMPHIS, TN, 38103-2723
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address DEERFIELD BEACH, BROWARD, FL, 33441-3026
Project Congressional District FL-20
Number of Employees 1
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 78586
Originating Lender Name IberiaBank, A Division of First Horizon Bank
Originating Lender Address Lafayette, LA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 21035.16
Forgiveness Paid Date 2021-06-04

Date of last update: 01 Apr 2025

Sources: Florida Department of State