| Entity Name: | JAY S. HERBST, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JAY S. HERBST, M.D., 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: | 03 Mar 1993 (32 years ago) |
| Document Number: | P93000015945 |
| FEI/EIN Number |
650384510
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2866 TAMIAMI TRAIL, SUITE A, PORT CHARLOTTE, FL, 33952, US |
| Mail Address: | 2866 TAMIAMI TRAIL, SUITE A, PORT CHARLOTTE, FL, 33952, US |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033488424 | 2011-12-14 | 2011-12-14 | 2866 TAMIAMI TRL, SUITE A, PORT CHARLOTTE, FL, 339525126, US | 2866 TAMIAMI TRL, SUITE A, PORT CHARLOTTE, FL, 339525126, US | |||||||||||||||||||
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| Phone | +1 941-764-1055 |
| Fax | 9417647984 |
Authorized person
| Name | DR. JAY STEVEN HERBST |
| Role | MEDICAL DIRECTOR |
| Phone | 9417641055 |
Taxonomy
| Taxonomy Code | 207NS0135X - Procedural Dermatology Physician |
| License Number | ME 46734 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAY S. HERBST, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST | 2017 | 650384510 | 2018-10-12 | JAY S. HERBST, M.D., P.A. | 1 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-10-12 |
| Name of individual signing | JAY S. HERBST, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HERBST JAY S | President | 2866-A TAMIAMI TRAIL, PORT CHARLOTTE, FL |
| HERBST JAY S | Secretary | 2866-A TAMIAMI TRAIL, PORT CHARLOTTE, FL |
| HERBST JAY S | Director | 2866-A TAMIAMI TRAIL, PORT CHARLOTTE, FL |
| herbst jay s | Agent | 2866 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-03-12 | herbst, jay s | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-12 | 2866 TAMIAMI TRAIL, SUITE A, PORT CHARLOTTE, FL 33952 | - |
| CHANGE OF PRINCIPAL ADDRESS | 1997-01-29 | 2866 TAMIAMI TRAIL, SUITE A, PORT CHARLOTTE, FL 33952 | - |
| CHANGE OF MAILING ADDRESS | 1997-01-29 | 2866 TAMIAMI TRAIL, SUITE A, PORT CHARLOTTE, FL 33952 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-03-21 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-01-15 |
| ANNUAL REPORT | 2018-01-04 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-12 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
