| Entity Name: | MEDATLANTIC PHYSICIANS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MEDATLANTIC PHYSICIANS, 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: | 17 Dec 2013 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Jun 2020 (5 years ago) |
| Document Number: | P13000099985 |
| FEI/EIN Number |
46-4340619
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 325 S DIXIE HIGHWAY, Lake Worth Beach, FL, 33460, US |
| Mail Address: | 325 S DIXIE HIGHWAY, Lake Worth Beach,, FL, 33460, US |
| ZIP code: | 33460 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740684257 | 2014-10-13 | 2014-10-13 | 400 SOUTH DIXIE HIGHWAY, SUITE 12, LAKE WORTH, FL, 33460, US | 400 SOUTH DIXIE HIGHWAY, SUITE 12, LAKE WORTH, FL, 33460, US | |||||||||||||||||||||
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| Phone | +1 561-568-1272 |
| Fax | 5613453521 |
Authorized person
| Name | DR. ADRIENE MILLER |
| Role | PRESIDENT |
| Phone | 5615681272 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008044209 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MILLER ADRIENE | Director | 4832 ESEDRA COURT #106, LAKE WORTH, FL, 33467 |
| MILLER ADRIENE | President | 4832 ESEDRA COURT #106, LAKE WORTH, FL, 33467 |
| MILLER ADRIENE | Secretary | 4832 ESEDRA COURT #106, LAKE WORTH, FL, 33467 |
| MILLER ADRIENE | Treasurer | 4832 ESEDRA COURT #106, LAKE WORTH, FL, 33467 |
| MEDATLANTIC PHYSICIANS, P.A. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-30 | 325 S DIXIE HIGHWAY, Suite 1, Lake Worth Beach, FL 33460 | - |
| CHANGE OF MAILING ADDRESS | 2021-01-30 | 325 S DIXIE HIGHWAY, Suite 1, Lake Worth Beach, FL 33460 | - |
| REINSTATEMENT | 2020-06-04 | - | - |
| REGISTERED AGENT NAME CHANGED | 2020-06-04 | MedAtlantic Physicians, P.A. | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-08-05 | 4832 ESEDRA COURT #106, LAKE WORTH, FL 33467 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-01-30 |
| REINSTATEMENT | 2020-06-04 |
| ANNUAL REPORT | 2018-04-01 |
| ANNUAL REPORT | 2017-04-01 |
| ANNUAL REPORT | 2016-03-26 |
| ANNUAL REPORT | 2015-08-05 |
| Domestic Profit | 2013-12-17 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3643607408 | 2020-05-07 | 0455 | PPP | 325 S DIXIE HWY STE 1, LAKE WORTH, FL, 33460-4423 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 May 2025
Sources: Florida Department of State
