| Entity Name: | TANNER MEDICAL ENTERPRISES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
TANNER MEDICAL ENTERPRISES, INC. 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: | 05 Jan 2010 (15 years ago) |
| Document Number: | P10000000847 |
| FEI/EIN Number |
271612221
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 340 16th Avenue North, Jacksonville Beach, FL, 32250, US |
| Mail Address: | PO BOX 51595, JACKSONVILLE BEACH, FL, 32240 |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508185190 | 2010-05-23 | 2013-03-04 | PO BOX 51595, JACKSONVILLE BEACH, FL, 322401595, US | 101 FLORIDA BLVD, NEPTUNE BEACH, FL, 322664966, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 904-241-2653 |
| Fax | 9042466312 |
Authorized person
| Name | MILLICENT H TANNER |
| Role | ADMINISTRATOR/OWNER |
| Phone | 9042412653 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS4709 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
| License Number | OS4709 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2084P0802X - Addiction Psychiatry Physician |
| License Number | OS4709 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 82622 |
| State | FL |
| Issuer | MEDICAID |
| Number | 068895900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TANNER JOHN C | Director | 340 16th Avenue North, Jacksonville Beach, FL, 32250 |
| TANNER MILLICENT H | Director | 340 16th Avenue North, Jacksonville Beach, FL, 32250 |
| TANNER MILLICENT H | Agent | 340 16th Avenue North, Jacksonville Beach, FL, 32250 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000089411 | BEACHES ADDICTIVE & BEHAVIORAL HEALTH | EXPIRED | 2014-09-02 | 2019-12-31 | - | P.O. BOX 51595, JACKSONVILLE BEACH, FL, 32240-1595 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-16 | 340 16th Avenue North, Suite A, Jacksonville Beach, FL 32250 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-16 | 340 16th Avenue North, Suite A, Jacksonville Beach, FL 32250 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-05 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-08 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
