| Entity Name: | THIERRY JACQUEMIN D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
THIERRY JACQUEMIN D.O., P.A. 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 Jan 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 31 Oct 2016 (8 years ago) |
| Document Number: | P13000007406 |
| FEI/EIN Number |
46-1947215
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 13921 SW 108 AVE, MIAMI, FL, 33176, US |
| Mail Address: | 13921 SW 108 AVE, MIAMI, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427590918 | 2016-11-15 | 2016-11-15 | 3850 BIRD RD, SUITE # 501, MIAMI, FL, 331461501, US | 3850 BIRD RD, SUITE # 501, MIAMI, FL, 331461501, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-667-1511 |
| Fax | 3055038955 |
Authorized person
| Name | THIERRY O JACQUEMIN |
| Role | DIRECTOR |
| Phone | 3056671511 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS9856 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | BS88ST |
| State | FL |
| Issuer | NPI INDIVIDUAL |
| Number | 1750407086 |
| State | FL |
| Issuer | MEDICAID |
| Number | 001536700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JACQUEMIN THIERRY | Director | 13921 SW 108 AVE, MIAMI, FL, 33176 |
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000005146 | MIAMI VITALITY | EXPIRED | 2018-01-09 | 2023-12-31 | - | 3850 BIRD RD, STE 501, MIAMI, FL, 33146 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-18 | 4929 SW 74T CT, MIAMI, FL 33155 | - |
| REGISTERED AGENT NAME CHANGED | 2018-04-27 | THE LAW OFFICES OF MAX A ADAMS ESQ PLLC | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-21 | 13921 SW 108 AVE, MIAMI, FL 33176 | - |
| CHANGE OF MAILING ADDRESS | 2017-04-21 | 13921 SW 108 AVE, MIAMI, FL 33176 | - |
| REINSTATEMENT | 2016-10-31 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-21 |
| REINSTATEMENT | 2016-10-31 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
