| Entity Name: | JENSEN BEACH FAMILY PRACTICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Jul 2013 (12 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P13000056175 |
| FEI/EIN Number | 46-3105096 |
| Address: | 3405 NW FEDERAL HIGHWAY, JENSEN BEACH, FL 34957 |
| Mail Address: | 3405 NW FEDERAL HIGHWAY, JENSEN BEACH, FL 34957 |
| ZIP code: | 34957 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073940151 | 2013-10-03 | 2013-10-03 | 3405 NW FEDERAL HWY, JENSEN BEACH, FL, 349574439, US | 3405 NW FEDERAL HWY, JENSEN BEACH, FL, 349574439, US | |||||||||||||||||||
|
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| Phone | +1 772-692-8082 |
| Fax | 7722329211 |
Authorized person
| Name | DR. JONATHAN MICHAEL ADELBERG |
| Role | OWNER/PRESIDENT |
| Phone | 7726928082 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME68270 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ADELBERG, J. MICHAEL | Agent | 2189 DRIFTWOOD CIRCLE, PALM BEACH GARDENS, FL 33410 |
| Name | Role | Address |
|---|---|---|
| ADELBERG, J. MICHAEL | President | 2189 DRIFTWOOD CIRCLE, PALM BEACH GARDENS, FL 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-02-02 |
| ANNUAL REPORT | 2014-07-02 |
| Domestic Profit | 2013-07-01 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
