| Entity Name: | JOSE MENDEZ MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JOSE MENDEZ 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: | 05 Jun 2012 (13 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 23 Dec 2013 (11 years ago) |
| Document Number: | P12000051256 |
| FEI/EIN Number |
45-5440293
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8615 COMMODITY CIRCLE, ORLANDO, FL, 32819, US |
| Mail Address: | 8615 COMMODITY CIRCLE, ORLANDO, FL, 32819, US |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407100951 | 2012-11-06 | 2020-07-30 | 8615 COMMODITY CIR STE 12, ORLANDO, FL, 328199072, US | 8615 COMMODITY CIR STE 12, ORLANDO, FL, 32819, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-476-1212 |
| Fax | 4074761213 |
Authorized person
| Name | DR. JOSE Y MENDEZ |
| Role | PRESIDENT |
| Phone | 4077383030 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | ME107982 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 005210100 |
| State | FL |
| Issuer | FLORIDA BLUE |
| Number | 14M9E |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MENDEZ JOSE | President | 9212 COUNTRY BAY CT, Orlando, FL, 32819 |
| MENDEZ JOSE | Treasurer | 9212 COUNTRY BAY CT, Orlando, FL, 32819 |
| MENDEZ JOSE | Secretary | 9212 COUNTRY BAY CT, Orlando, FL, 32819 |
| ARAQUE ASTRID | Vice President | 9212 COUNTRY BAY CT, ORLANDO, FL, 32819 |
| MENDEZ JOSE | Agent | 8615 COMMODITY CIRCLE, ORLANDO, FL, 32819 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000019793 | ALMA BEHAVIORAL GROUP | ACTIVE | 2013-02-26 | 2028-12-31 | - | 8615 COMMODITY CIRCLE, SUITE 12, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-28 | 8615 COMMODITY CIRCLE, SUITE 12, ORLANDO, FL 32819 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-14 | 8615 COMMODITY CIRCLE, SUITE 12, ORLANDO, FL 32819 | - |
| CHANGE OF MAILING ADDRESS | 2018-02-14 | 8615 COMMODITY CIRCLE, SUITE 12, ORLANDO, FL 32819 | - |
| AMENDMENT | 2013-12-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-02-28 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-02-14 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-04-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8338738306 | 2021-01-29 | 0491 | PPS | 8615 Commodity Cir Ste 12, Orlando, FL, 32819-9072 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4586387400 | 2020-05-10 | 0491 | PPP | 8615 COMMODITY CIR STE 12, ORLANDO, FL, 32819-9072 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
