| Entity Name: | JOSE G CEVALLOS MD-PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JOSE G CEVALLOS 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: | 24 Oct 2012 (13 years ago) |
| Document Number: | P12000089489 |
| FEI/EIN Number |
46-1239827
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 15643 cypress park dr, WELLINGTON, FL, 33414, US |
| Mail Address: | 15643 cypress park dr, Wellington, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649727074 | 2016-09-01 | 2023-12-08 | 15643 CYPRESS PARK DR, WELLINGTON, FL, 334146341, US | 15643 CYPRESS PARK DR, WELLINGTON, FL, 334146341, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-790-6544 |
Authorized person
| Name | DR. JOSE GUSTAVO CEVALLOS |
| Role | PRESIDENT |
| Phone | 3057906544 |
Taxonomy
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| License Number | ME114288 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 011046600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CEVALLOS JOSE GDr. | President | 15643 cypress park dr, WELLINGTON, FL, 33414 |
| CEVALLOS JOSE GDr. | Agent | 15643 cypress park dr, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-13 | 15643 cypress park dr, WELLINGTON, FL 33414 | - |
| CHANGE OF MAILING ADDRESS | 2021-01-13 | 15643 cypress park dr, WELLINGTON, FL 33414 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-13 | 15643 cypress park dr, WELLINGTON, FL 33414 | - |
| REGISTERED AGENT NAME CHANGED | 2013-02-09 | CEVALLOS, JOSE G, Dr. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-01-18 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
