| Entity Name: | MONTEGA FAMILY MEDICINE PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MONTEGA FAMILY MEDICINE PA 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: | 09 Apr 2018 (7 years ago) |
| Document Number: | P18000033082 |
| FEI/EIN Number |
82-5194298
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2271 BIRDWOOD DR, ORANGE PARK, FL, 32073, US |
| Mail Address: | 2271 BIRDWOOD DR, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306410634 | 2021-05-20 | 2021-05-20 | 2271 BIRDWOOD DR, ORANGE PARK, FL, 320735339, US | 151 COLLEGE DR STE 3, ORANGE PARK, FL, 320657684, US | |||||||||||||||||||||||||
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| Phone | +1 904-214-6719 |
| Fax | 9042395021 |
| Phone | +1 904-639-5013 |
| Fax | 9046395021 |
Authorized person
| Name | RAFAEL A GARCIA |
| Role | OWNER |
| Phone | 9042146719 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009422900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA RAFAEL A | President | 2271 BIRDWOOD DR, ORANGE PARK, FL, 32073 |
| MONTERO YOANNIS | Treasurer | 2271 BIRDWOOD DR, ORANGE PARK, FL, 32073 |
| MONTERO YOANNIS | Secretary | 2271 BIRDWOOD DR, ORANGE PARK, FL, 32073 |
| GARCIA RAFAEL A | Director | 2271 BIRDWOOD DR, ORANGE PARK, FL, 32073 |
| LEONCIO & ASSOCIATES, LLC. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 14331 COMMERCE WAY, MIAMI LAKES, FL 33016 | - |
| REGISTERED AGENT NAME CHANGED | 2022-08-02 | LEONCIO & ASSOCIATES LLC | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-11 | 2271 BIRDWOOD DR, ORANGE PARK, FL 32073 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-08-02 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-02-11 |
| Domestic Profit | 2018-04-09 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
