| Entity Name: | CARLOS MEDINA MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CARLOS MEDINA MD 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: | 04 Mar 2014 (11 years ago) |
| Document Number: | P14000019960 |
| FEI/EIN Number |
46-5001125
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1101 WATERSIDE LN, HOLLYWOOD, FL, 33019 |
| Mail Address: | 1101 WATERSIDE LN, HOLLYWOOD, FL, 33019 |
| ZIP code: | 33019 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700242617 | 2016-01-07 | 2024-10-15 | 1101 WATERSIDE LN, HOLLYWOOD, FL, 330195005, US | 21110 BISCAYNE BLVD STE 201, AVENTURA, FL, 331801251, US | |||||||||||||||||||||||||
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| Phone | +1 786-817-7808 |
| Fax | 7865512299 |
Authorized person
| Name | CARLOS MEDINA |
| Role | OWNER |
| Phone | 7868177808 |
Taxonomy
| Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
| License Number | ME106831 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME106831 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MEDINA CARLOS | President | 1101 WATERSIDE LN, HOLLYWOOD, FL, 33019 |
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-12 | 4929 SW 74TH CT, MIAMI, FL 33155 | - |
| REGISTERED AGENT NAME CHANGED | 2018-04-05 | THE LAW OFFICES OF MAX A ADAMS ESQ PLLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-02-24 |
| ANNUAL REPORT | 2015-03-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7747737110 | 2020-04-14 | 0455 | PPP | 11760 40TH ST SW, MIAMI, FL, 33175 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
