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INFORMED DNA MEDICAL GROUP, P.A. - Florida Company Profile

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Company Details

Entity Name: INFORMED DNA MEDICAL GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Nov 2017 (8 years ago)
Document Number: P17000090502
FEI/EIN Number 82-3461918
Mail Address: PO Box 491, ST. PETERSBURG, FL, 33731, US
Address: 111 2nd Avenue NE, Suite 700, ST. PETERSBURG, FL, 33701-3441, US
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
5666470
State:
NEW YORK
Type:
Headquarter of
Company Number:
20181630526
State:
COLORADO

Key Officers & Management

Name Role Address
Sutphen Rebecca MD President 877 Executive Center Dr W, St, St. Petersburg, FL, 33702
- Agent -

National Provider Identifier

NPI Number:
1942842042
Certification Date:
2023-07-10

Authorized Person:

Name:
REBECCA SUTPHEN
Role:
CHIEF MEDICAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
170300000X - Genetic Counselor (M.S.)
Is Primary:
Yes

Contacts:

Fax:
7602031194

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-26 111 2nd Avenue NE, Suite 700, ST. PETERSBURG, FL 33701 -
CHANGE OF MAILING ADDRESS 2022-04-26 111 2nd Avenue NE, Suite 700, ST. PETERSBURG, FL 33701 -
REGISTERED AGENT NAME CHANGED 2021-03-17 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2021-03-17 1201 HAYS STREET, TALLAHASSEE, FL 32301 -

Documents

Name Date
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-04-26
Reg. Agent Change 2021-03-17
ANNUAL REPORT 2021-03-04
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-03-05
ANNUAL REPORT 2018-04-30
Domestic Profit 2017-11-14

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Date of last update: 01 Aug 2025

Sources: Florida Department of State