| Entity Name: | ADVANCED MEDICAL PROVIDER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ADVANCED MEDICAL PROVIDER 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: | 08 Nov 2017 (7 years ago) |
| Document Number: | P17000089963 |
| FEI/EIN Number |
82-3337617
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8551 W. SUNRISE BLVD, PLANTATION, FL, 33322, US |
| Mail Address: | 8551 W. Sunrise Blvd., PLANTATION, FL, 33322, US |
| ZIP code: | 33322 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1588377949 | 2023-01-02 | 2023-01-02 | 11510 SW 2ND ST, PLANTATION, FL, 333252922, US | 1560 SAWGRASS CORPORATE PKWY FL 4, SUNRISE, FL, 333232855, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-600-8994 |
Authorized person
| Name | MS. JESSY MADHUKAR |
| Role | PRESIDENT |
| Phone | 9546008994 |
Taxonomy
| Taxonomy Code | 171000000X - Military Health Care Provider |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1104080092 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1144234857 |
| State | HI |
| Issuer | N/A |
| Number | 123 |
| Issuer | MEDICAID |
| Number | 1225233521 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1285743799 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1093700346 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1811979123 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1447629027 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1073520565 |
| State | FL |
| 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 |
| 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 | - |
| 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 |
| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P3324363 | ADVANCED MEDICAL PROVIDER INC | - | P5Z8HT6J1DT1 | 8551 W SUNRISE BLVD STE 209, PLANTATION, FL, 33322-4007 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621399 |
| NAICS Code's Description | Offices of All Other Miscellaneous Health Practitioners |
| Buy Green | Yes |
| Code | 621111 |
| NAICS Code's Description | Offices of Physicians (except Mental Health Specialists) |
| Buy Green | Yes |
| Code | 621498 |
| NAICS Code's Description | All Other Outpatient Care Centers |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
