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9AMHEALTH MEDICAL GROUP, P.A. - Florida Company Profile

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Company Details

Entity Name: 9AMHEALTH MEDICAL GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Feb 2023 (2 years ago)
Document Number: P23000008534
FEI/EIN Number 92-2157878
Address: 914 N Coast Hwy 101, Ste A, ENCINITAS, CA, 92024, US
Mail Address: 914 N Coast Hwy 101, Ste A, ENCINITAS, CA, 92024, US
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
2878497
State:
CONNECTICUT
Type:
Headquarter of
Company Number:
CORP_74136583
State:
ILLINOIS
Type:
Headquarter of
Company Number:
1418237
State:
MISSISSIPPI
Type:
Headquarter of
Company Number:
001765705
State:
RHODE ISLAND
Type:
Headquarter of
Company Number:
10250593
State:
ALASKA
Type:
Headquarter of
Company Number:
6846907
State:
NEW YORK
Type:
Headquarter of
Company Number:
a7dff582-9988-ee11-9079-00155d01c440
State:
MINNESOTA
Type:
Headquarter of
Company Number:
20238198988
State:
COLORADO
Type:
Headquarter of
Company Number:
5447315
State:
IDAHO

Key Officers & Management

Name Role Address
Hofner Michael Co 914 N Coast Hwy 101, ENCINITAS, CA, 92024
Hofner Michael Chairman 914 N Coast Hwy 101, ENCINITAS, CA, 92024
Westermann Frank Co 914 N Coast Hwy 101, ENCINITAS, CA, 92024
Westermann Frank Chairman 914 N Coast Hwy 101, ENCINITAS, CA, 92024
Reilly Elizabeth Secretary 914 N Coast Hwy 101, ENCINITAS, CA, 92024
- Agent -
MINK JONAH President 914 N Coast Hwy 101, ENCINITAS, CA, 92024

National Provider Identifier

NPI Number:
1982304713
Certification Date:
2024-10-23

Authorized Person:

Name:
DANIEL DISTEFANO
Role:
OPERATIONS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8449274824

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-10-03 REGISTERED AGENT SOLUTIONS, INC. -
REGISTERED AGENT ADDRESS CHANGED 2024-10-03 2894 REMINGTON GREEN LN., STE. A, TALLAHASSEE, FL 32308 -
CHANGE OF PRINCIPAL ADDRESS 2024-07-03 914 N Coast Hwy 101, ENCINITAS, CA 92024 -
CHANGE OF MAILING ADDRESS 2024-07-03 914 N Coast Hwy 101, ENCINITAS, CA 92024 -

Documents

Name Date
Reg. Agent Change 2024-10-03
ANNUAL REPORT 2024-07-03
Domestic Profit 2023-02-02

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Date of last update: 02 Jul 2025

Sources: Florida Department of State