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TRIDENT MEDICAL GROUP, PA - Florida Company Profile

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Company Details

Entity Name: TRIDENT MEDICAL GROUP, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TRIDENT MEDICAL GROUP, 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 29 Sep 2021 (4 years ago)
Date of dissolution: 16 Feb 2024 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 16 Feb 2024 (a year ago)
Document Number: P21000085122
FEI/EIN Number 87-2888744

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

Address: 382 NE 191ST STREET, MIAMI, FL, 33179, US
Mail Address: 382 NE 191ST STREET, PMB 75481, MIAMI, FL, 33179-3899, US
ZIP code: 33179
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HENDERSON KIMBERLY MD Chief Executive Officer 333 SE 2ND ST, MIAMI, FL, 33131
CORPORATION SERVICE COMPANY Agent -

National Provider Identifier

NPI Number:
1295407922
Certification Date:
2022-11-14

Authorized Person:

Name:
DEVION SMITH
Role:
DIRECTOR, PAYER CONTRACTING
Phone:

Taxonomy:

Selected Taxonomy:
171M00000X - Case Manager/Care Coordinator
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207XX0004X - Orthopaedic Foot and Ankle Surgery Physician
Is Primary:
No
Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
No
Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No

Contacts:

Fax:
8558362741

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-02-16 - -
CHANGE OF MAILING ADDRESS 2022-09-16 382 NE 191ST STREET, MIAMI, FL 33179 -
AMENDMENT 2022-04-13 - -
AMENDMENT 2022-03-16 - -

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-02-16
ANNUAL REPORT 2023-09-15
ANNUAL REPORT 2022-09-16
Amendment 2022-04-13
Amendment 2022-03-16
Domestic Profit 2021-09-29

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Date of last update: 01 Jun 2025

Sources: Florida Department of State