| Entity Name: | MENCIA M GOMEZ MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MENCIA M GOMEZ 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: | 07 Feb 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 15 Oct 2020 (4 years ago) |
| Document Number: | P17000012809 |
| FEI/EIN Number |
81-5317479
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1946 Tyler Street, HOLLYWOOD, FL, 33020, BR |
| Mail Address: | 1946 Tyler Street, HOLLYWOOD, 33020, BR |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134669963 | 2017-02-27 | 2024-06-06 | 1946 TYLER ST, HOLLYWOOD, FL, 330204517, US | 1946 TYLER ST, HOLLYWOOD, FL, 330204517, US | |||||||||||||||||||||||
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| Phone | +1 754-333-9815 |
| Fax | 5713862627 |
Authorized person
| Name | DR. MENCIA M GOMEZ |
| Role | PRESIDENT |
| Phone | 7543339815 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME121955 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GOMEZ MENCIA M | President | 1946 Tyler Street, HOLLYWOOD, 33020 |
| GOMEZ MENCIA M | Treasurer | 1946 Tyler Street, HOLLYWOOD, 33020 |
| GOMEZ MENCIA M | Agent | 1946 Tyler Street, HOLLYWOOD, FL, 33020 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-15 | 1946 Tyler Street, HOLLYWOOD, FL 33020 BR | - |
| CHANGE OF MAILING ADDRESS | 2023-03-15 | 1946 Tyler Street, HOLLYWOOD, FL 33020 BR | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-15 | 1946 Tyler Street, HOLLYWOOD, FL 33020 | - |
| REINSTATEMENT | 2020-10-15 | - | - |
| REGISTERED AGENT NAME CHANGED | 2020-10-15 | GOMEZ, MENCIA M | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-03-17 |
| REINSTATEMENT | 2020-10-15 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-25 |
| Domestic Profit | 2017-02-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1092047410 | 2020-05-03 | 0455 | PPP | 3700 WASHINGTON ST STE 304, HOLLYWOOD, FL, 33021-8258 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Mar 2025
Sources: Florida Department of State
