| Entity Name: | BODHI TRADITIONAL CHINESE MEDICINE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BODHI TRADITIONAL CHINESE MEDICINE INC 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: | 30 Mar 2017 (8 years ago) |
| Document Number: | P17000029494 |
| FEI/EIN Number |
82-1098585
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 304 S Harbor City Blvd, Melbourne, FL, 32901, US |
| Mail Address: | 304 S Harbor City Blvd, Melbourne, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871013649 | 2017-06-22 | 2019-08-08 | 476 HIGHWAY A1A STE 2B, SATELLITE BEACH, FL, 329372331, US | 476 HIGHWAY A1A STE 8B, SATELLITE BEACH, FL, 329372331, US | |||||||||||||||||||||
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| Phone | +1 321-312-0771 |
Authorized person
| Name | DR. ANDREA IZQUIERDO |
| Role | DR. OF CHINESE MEDICINE |
| Phone | 3213120771 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP3822 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PERSONAL NPI |
| Number | 1972031169 |
| Name | Role | Address |
|---|---|---|
| IZQUIERDO ANDREA | President | 304 S Harbor City Blvd, Melbourne, FL, 32901 |
| IZQUIERDO ANDREA | Agent | 304 S Harbor City Blvd, Melbourne, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-22 | 304 S Harbor City Blvd, Suite 101, Melbourne, FL 32901 | - |
| CHANGE OF MAILING ADDRESS | 2023-03-22 | 304 S Harbor City Blvd, Suite 101, Melbourne, FL 32901 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-22 | 304 S Harbor City Blvd, Suite 101, Melbourne, FL 32901 | - |
| REGISTERED AGENT NAME CHANGED | 2020-06-16 | IZQUIERDO, ANDREA | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-04-29 |
| Domestic Profit | 2017-03-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4078107706 | 2020-05-01 | 0455 | PPP | 476 HIGHWAY A1A SUITE 8B, SATELLITE BEACH, FL, 32937 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6595318300 | 2021-01-27 | 0455 | PPS | 476 Highway A1A Ste 8B, Satellite Beach, FL, 32937-2331 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
