| Entity Name: | POINCIANA MEDICAL CLINIC INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
POINCIANA MEDICAL CLINIC INC. 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: | 17 Sep 2013 (12 years ago) |
| Document Number: | P13000076758 |
| FEI/EIN Number |
46-3714235
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 51 & 53 N DOVERPLUM AVE, KISSIMMEE, FL, 34758 |
| Mail Address: | 51 & 53 N DOVERPLUM AVE, KISSIMMEE, FL, 34758 |
| ZIP code: | 34758 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871923037 | 2013-11-25 | 2014-07-21 | 51 N DOVERPLUM AVE, KISSIMMEE, FL, 347583308, US | 51 N DOVERPLUM AVE, KISSIMMEE, FL, 347583308, US | |||||||||||||||||||||||||
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| Phone | +1 407-572-8862 |
| Fax | 4075728863 |
Authorized person
| Name | IVAN A RIVERA SOLER |
| Role | MD |
| Phone | 4075728862 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ACN241 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001456400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RIVERA IVAN AM.D | President | 51 & 53 N DOVERPLUM AVE, KISSIMMEE, FL, 32758 |
| MERCADO EULADIA RN/BSN | Vice President | P.O. BOX 720788, ORLANDO, FL, 32872 |
| RIVERA IVAN AM.D. | Agent | 51 & 53 N DOVERPLUM AVE, KISSIMMEE, FL, 34758 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1259287807 | 2020-05-01 | 0455 | PPP | 51 N DOVERPLUN AVE, KISSIMMEE, FL, 34758 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
