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ADVANCED MEDICAL PROVIDER INC - Florida Company Profile

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Company Details

Entity Name: ADVANCED MEDICAL PROVIDER INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Nov 2017 (8 years ago)
Document Number: P17000089963
FEI/EIN Number 82-3337617
Address: 8551 W. SUNRISE BLVD, PLANTATION, FL, 33322, US
Mail Address: 8551 W. Sunrise Blvd., PLANTATION, FL, 33322, US
ZIP code: 33322
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MADHUKAR JESSY President 8551 W. Sunrise Blvd., PLANTATION, FL, 33322
Madhukar Joel Manager 8551 W. Sunrise Blvd., PLANTATION, FL, 33322
SHULMAN SCOTT CPA Agent 5550 GLADES ROAD, BOCA RATON, FL, 33431

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
786-221-2987
Contact Person:
JOEL MADHUKAR
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business, Women-Owned Small Business, Woman Owned
User ID:
P3324363

Unique Entity ID

Unique Entity ID:
P5Z8HT6J1DT1
CAGE Code:
03X17
UEI Expiration Date:
2025-09-23

Business Information

Division Name:
ADVANCED MEDICAL PROVIDER INC
Activation Date:
2024-09-25
Initial Registration Date:
2024-04-15

Commercial and government entity program

CAGE number:
03X17
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-09-25
CAGE Expiration:
2029-09-25
SAM Expiration:
2025-09-23

Contact Information

POC:
JOEL MADHUKAR

National Provider Identifier

NPI Number:
1588377949
Certification Date:
2022-12-21

Authorized Person:

Name:
MS. JESSY MADHUKAR
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
302F00000X - Exclusive Provider Organization
Is Primary:
No
Selected Taxonomy:
171000000X - Military Health Care Provider
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-02-22 8551 W. SUNRISE BLVD, 209, PLANTATION, FL 33322 -
CHANGE OF PRINCIPAL ADDRESS 2023-03-21 8551 W. SUNRISE BLVD, 209, PLANTATION, FL 33322 -
REGISTERED AGENT NAME CHANGED 2022-02-22 SHULMAN, SCOTT, CPA -
REGISTERED AGENT ADDRESS CHANGED 2022-02-22 5550 GLADES ROAD, SUITE 500, BOCA RATON, FL 33431 -

Documents

Name Date
ANNUAL REPORT 2025-01-13
AMENDED ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-02-22
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-08-26
Domestic Profit 2017-11-08

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Date of last update: 02 Aug 2025

Sources: Florida Department of State