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MILLENNIUM PROVIDER GROUP, P.A. - Florida Company Profile

Company Details

Entity Name: MILLENNIUM PROVIDER GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MILLENNIUM PROVIDER GROUP, P.A. 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 Jan 2021 (4 years ago)
Document Number: P21000001666
FEI/EIN Number 86-1468274

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6321 DANIELS PARKWAY, SUITE 200, FORT MYERS, FL, 33912
Mail Address: 6321 DANIELS PARKWAY, SUITE 200, FORT MYERS, FL, 33912
ZIP code: 33912
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972234417 2022-06-23 2022-06-23 6321 DANIELS PKWY STE 200, FORT MYERS, FL, 339124773, US 6321 DANIELS PKWY STE 200, FORT MYERS, FL, 339124773, US

Contacts

Phone +1 855-674-7400
Fax 8556747401

Authorized person

Name CHASITY CHASE
Role MARKET PRESIDENT
Phone 8556747400

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Key Officers & Management

Name Role Address
Dosoretz Arie Dr. Director 6321 DANIELS PARKWAY, SUITE 200, FORT MYERS, FL, 33912
HOLMES DAVID A Agent 99 NESBIT STREET, PUNTA GORDA, FL, 33950

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-08-31
Domestic Profit 2021-01-08

Date of last update: 02 Apr 2025

Sources: Florida Department of State