| Entity Name: | BRAD MCCOLLOM, DO, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BRAD MCCOLLOM, DO, 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: | 26 Sep 2013 (12 years ago) |
| Document Number: | P13000079678 |
| FEI/EIN Number |
46-3587201
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1950 SPOTTED OWL DRIVE SW, VERO BEACH, FL, 32962 |
| Mail Address: | 1950 SPOTTED OWL DRIVE SW, VERO BEACH, FL, 32962 |
| ZIP code: | 32962 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528724176 | 2021-11-09 | 2021-11-09 | 2047 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL, 334096522, US | 2047 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL, 334096522, US | |||||||||||||
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| Phone | +1 561-507-0800 |
Authorized person
| Name | CARIANNE YANTZ |
| Role | HR |
| Phone | 5615070800 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRAD MCCOLLOM DO, PA | 2023 | 463587201 | 2024-09-03 | BRAD MCCOLLOM DO, PA | 2 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-03 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MCCOLLOM BRAD E | President | 1950 SPOTTED OWL DRIVE SW, VERO BEACH, FL, 32962 |
| McCollom Brad e | Agent | 1950 SPOTTED OWL DRIVE SW, VERO BEACH, FL, 32962 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-03-21 | McCollom, Brad e | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-21 | 1950 SPOTTED OWL DRIVE SW, VERO BEACH, FL 32962 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-03-12 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-02-09 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-03-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7630797701 | 2020-05-01 | 0455 | PPP | 1950 SPOTTED OWL DR SW, VERO BEACH, FL, 32962 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
