| Entity Name: | BENJAMIN MENA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Profit Corporation
BENJAMIN MENA, M.D., P.A. is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock. |
| 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: | 14 Jun 2010 (15 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 06 Jul 2010 (15 years ago) |
| Document Number: | P10000049530 |
| FEI/EIN Number |
27-2782466
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2835 W. DE LEON STREET, SUITE 104, TAMPA, FL 33609 |
| Mail Address: | 2835 W. DE LEON STREET, SUITE 104, TAMPA, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316253982 | 2010-08-20 | 2023-03-07 | 2835 W DE LEON ST, SUITE 104, TAMPA, FL, 336094130, US | 2835 W DE LEON ST, SUITE 104, TAMPA, FL, 336094130, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-443-0606 |
| Fax | 8134430608 |
Authorized person
| Name | DR. BENJAMIN MENA |
| Role | OWNER |
| Phone | 8134430606 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME98740 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 7904315 |
| State | FL |
| Issuer | BCBS |
| Number | 78355 |
| State | FL |
| Issuer | CAQH ID |
| Number | 10919106 |
| State | FL |
| Issuer | CIGNA |
| Number | 6116907 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MENA, BENJAMIN M.D. | Agent | 2835 W. DE LEON STREET, SUITE 104, TAMPA, FL 33609 |
| MENA, BENJAMIN M.D | Chief Executive Officer | 2835 W. DE LEON STREET, SUITE 104 TAMPA, FL 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-07 | MENA, BENJAMIN M.D. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-06-30 | 2835 W. DE LEON STREET, SUITE 104, TAMPA, FL 33609 | - |
| CHANGE OF MAILING ADDRESS | 2012-04-12 | 2835 W. DE LEON STREET, SUITE 104, TAMPA, FL 33609 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-12 | 2835 W. DE LEON STREET, SUITE 104, TAMPA, FL 33609 | - |
| NAME CHANGE AMENDMENT | 2010-07-06 | BENJAMIN MENA, M.D., P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
