| Entity Name: | MDPA SOLUTIONS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Jul 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Oct 2016 (8 years ago) |
| Document Number: | P15000062771 |
| FEI/EIN Number | 47-4600416 |
| Address: | 502 Palmetto Street, NEW SMYRNA BEACH, FL, 32168, US |
| Mail Address: | 502 Palmetto Street, NEW SMYRNA BEACH, FL, 32168, US |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992181077 | 2015-07-30 | 2018-07-16 | 502 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325, US | 502 PALMETTO ST, NEW SMYRNA BEACH, FL, 32168, US | |||||||||||||||||||||||||||
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| Phone | +1 386-957-3810 |
| Fax | 3868784967 |
Authorized person
| Name | MR. ELLIS FRANKLIN FORT III |
| Role | PHYSICIAN ASSISTANT |
| Phone | 3869573810 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FORT ELLIS F | Agent | 1035 Tallacoe Trail, NEW SMYRNA BEACH, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| FORT ELLIS FIII | President | 1035 Tallacoe Trail, NEW SMYRNA BEACH, FL, 32168 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000094368 | NEW SMYRNA WELLNESS CENTER | ACTIVE | 2015-09-14 | 2025-12-31 | No data | 502 PALMETTO STREET, NEW SMYRNA BEACH, FL, 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-30 | 1035 Tallacoe Trail, NEW SMYRNA BEACH, FL 32168 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-04 | 502 Palmetto Street, NEW SMYRNA BEACH, FL 32168 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-04 | 502 Palmetto Street, NEW SMYRNA BEACH, FL 32168 | No data |
| REINSTATEMENT | 2016-10-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-19 | FORT, ELLIS F | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-04-19 |
| REINSTATEMENT | 2016-10-19 |
| Domestic Profit | 2015-07-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
