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PHYSICIANS CREEK INC. - Florida Company Profile

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Company Details

Entity Name: PHYSICIANS CREEK INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Jan 2013 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 16 Nov 2021 (4 years ago)
Document Number: P13000003268
FEI/EIN Number 46-1732380
Address: 2040 NE 163RD ST, Miami Beach, FL, 33162, US
Mail Address: 2040 NE 163RD ST, Miami Beach, FL, 33162, US
ZIP code: 33162
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Au Adam RESP 2040 NE 163RD ST, Miami Beach, FL, 33162
Au Adam MDO. MD. Agent 2040 NE 163RD ST, Miami Beach, FL, 33162

Unique Entity ID

CAGE Code:
77FU1
UEI Expiration Date:
2016-07-30

Business Information

Doing Business As:
PHYSICIANS CREEK
URL:
Division Name:
PHYSICIANS CREEK
Division Number:
N/A
Activation Date:
2015-07-31
Initial Registration Date:
2014-07-26

Commercial and government entity program

CAGE number:
77FU1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2016-07-30

Contact Information

POC:
NATALIE GOMEZ

National Provider Identifier

NPI Number:
1700278298
Certification Date:
2020-07-28

Authorized Person:

Name:
DR. ADAM M AU
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-11-16 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2020-04-28 2040 NE 163RD ST, #204, Miami Beach, FL 33162 -
CHANGE OF MAILING ADDRESS 2020-04-28 2040 NE 163RD ST, #204, Miami Beach, FL 33162 -
REGISTERED AGENT ADDRESS CHANGED 2020-04-28 2040 NE 163RD ST, #204, Miami Beach, FL 33162 -
REINSTATEMENT 2020-04-28 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REGISTERED AGENT NAME CHANGED 2015-01-17 Au, Adam M, DO. MD. PhD -

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-21
AMENDED ANNUAL REPORT 2022-07-14
ANNUAL REPORT 2022-01-31
REINSTATEMENT 2021-11-16
REINSTATEMENT 2020-04-28
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-03-15
ANNUAL REPORT 2015-01-17
ANNUAL REPORT 2014-06-28

Trademarks

Serial Number:
98277068
Mark:
GRAM SUGAR
Status:
ABANDONED - NO STATEMENT OF USE FILED
Mark Type:
TRADEMARK
Application Filing Date:
2023-11-19
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
GRAM SUGAR

Goods And Services

For:
Health food supplements; Sugar for medical purposes; Vitamin supplements
International Classes:
005 - Primary Class
Class Status:
Active

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Date of last update: 03 Jul 2025

Sources: Florida Department of State