| Entity Name: | CHARLENE T. DELUCA, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CHARLENE T. DELUCA, 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: | 22 Feb 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Aug 2017 (8 years ago) |
| Document Number: | P12000018147 |
| FEI/EIN Number |
45-4601601
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 130 9th Street N, NAPLES, FL, 34102, US |
| Mail Address: | 130 9th Street N, NAPLES, FL, 34102, US |
| ZIP code: | 34102 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225302201 | 2012-03-08 | 2012-03-08 | 6017 PINE RIDGE RD, NAPLES, FL, 341193956, US | 6101 PINE RIDGE RD, NAPLES, FL, 341193900, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-537-9037 |
Authorized person
| Name | DR. CHARLENE T. DELUCA |
| Role | PRESIDENT |
| Phone | 2395379037 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| License Number | ME94900 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002507100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 002753800 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Number | 56401 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Number | Y04QU |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DELUCA CHARLENE TDr. | President | 130 9th Street N, NAPLES, FL, 34102 |
| DELUCA CHARLENE TDr. | Director | 130 9th Street N, NAPLES, FL, 34102 |
| DELUCA CHARLENE TDr. | Secretary | 130 9th Street N, NAPLES, FL, 34102 |
| DELUCA CHARLENE TDr. | Treasurer | 130 9th Street N, NAPLES, FL, 34102 |
| DeLuca Charlene | Agent | 130 9th Street N, NAPLES, FL, 34102 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2017-08-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-08-25 | 130 9th Street N, Suite 110, NAPLES, FL 34102 | - |
| CHANGE OF MAILING ADDRESS | 2017-08-25 | 130 9th Street N, Suite 110, NAPLES, FL 34102 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-08-25 | 130 9th Street N, Suite 110, NAPLES, FL 34102 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-01-09 | DeLuca, Charlene | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-07-31 |
| ANNUAL REPORT | 2022-04-01 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-03-29 |
| REINSTATEMENT | 2017-08-25 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-01-09 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
