| Entity Name: | ROBIN C. ZARATE, MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Dec 2017 (7 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 08 Dec 2017 (7 years ago) |
| Document Number: | P17000095770 |
| FEI/EIN Number | 82-3596107 |
| Address: | 1654 ST LAUWRENCE DR, NICEVILLE, FL 32578 |
| Mail Address: | 1654 st lawrence dr, niceville, FL 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730696196 | 2018-01-08 | 2018-01-08 | 36468 EMERALD COAST PKWY STE 11001, DESTIN, FL, 325414799, US | 36468 EMERALD COAST PKWY STE 1101, DESTIN, FL, 325413723, US | |||||||||||||||||
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| Phone | +1 850-460-1948 |
Authorized person
| Name | DR. ROBIN C ZARATE |
| Role | OWNER |
| Phone | 4073253741 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME17204 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZARATE, ROBIN C, MD | Agent | 1654 SAINT LAWRENCE DR, NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| ZARATE, JUAN C, MD | Secretary | 1654 SAINT LAWRENCE DR, NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| ZARATE, ROBIN C | President | 1654 SAINT LAWRENCE DR, NICEVILLE, FL 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-30 | 1654 ST LAUWRENCE DR, NICEVILLE, FL 32578 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-16 | 1654 ST LAUWRENCE DR, NICEVILLE, FL 32578 | No data |
| AMENDMENT | 2017-12-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-03-18 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-27 |
| Amendment | 2017-12-08 |
| Domestic Profit | 2017-12-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3517497204 | 2020-04-27 | 0491 | PPP | 36468 EMERALD COAST PKWY STE 1101, DESTIN, FL, 32541-3723 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Feb 2025
Sources: Florida Department of State
