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CEREBRAL MEDICAL GROUP, P.A. - Florida Company Profile

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Company Details

Entity Name: CEREBRAL MEDICAL GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Nov 2020 (5 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 24 Nov 2020 (5 years ago)
Document Number: P20000085579
FEI/EIN Number 85-3753458
Address: 2093 PHILADELPHIA PIKE #9898, CLAYMONT, DE, 19703, US
Mail Address: 2093 PHILADELPHIA PIKE #9898, CLAYMONT, DE, 19703, US
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
001717316
State:
RHODE ISLAND

Key Officers & Management

Name Role Address
Boggs Michael M.D. President 2093 PHILADELPHIA PIKE #9898, CLAYMONT, DE, 19703
Boggs Michael M.D. Director 2093 PHILADELPHIA PIKE #9898, CLAYMONT, DE, 19703
McAndrew Norville Secretary 2093 PHILADELPHIA PIKE #9898, CLAYMONT, DE, 19703
Boggs Michael M.D. Treasurer 2093 PHILADELPHIA PIKE #9898, CLAYMONT, DE, 19703
- Agent -

National Provider Identifier

NPI Number:
1407459985
Certification Date:
2023-12-22

Authorized Person:

Name:
MICHAEL BOGGS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
4156513458

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-05 2093 PHILADELPHIA PIKE #9898, CLAYMONT, DE 19703 -
CHANGE OF MAILING ADDRESS 2024-04-05 2093 PHILADELPHIA PIKE #9898, CLAYMONT, DE 19703 -
REGISTERED AGENT NAME CHANGED 2022-07-13 C T CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2022-07-13 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -
NAME CHANGE AMENDMENT 2020-11-24 CEREBRAL MEDICAL GROUP, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-03-07
Reg. Agent Change 2022-07-13
ANNUAL REPORT 2022-02-14
ANNUAL REPORT 2021-02-01
Name Change 2020-11-24
Domestic Profit 2020-11-03

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Date of last update: 03 Aug 2025

Sources: Florida Department of State