| Entity Name: | JOHN BANCROFT HYLTON, M.D. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Nov 1993 (31 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 31 Oct 2003 (21 years ago) |
| Document Number: | P93000081716 |
| FEI/EIN Number | 65-0452430 |
| Address: | 12323 SW 55TH STREET, # 1003, COOPER CITY, FL 33330 |
| Mail Address: | 12323 SW 55TH STREET, # 1003, COOPER CITY, FL 33330 |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225378516 | 2013-02-22 | 2024-05-21 | 12323 SW 55TH ST, SUITE 1003, COOPER CITY, FL, 333303312, US | 12323 SW 55TH ST, SUITE 1003, COOPER CITY, FL, 333303312, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 954-252-0083 |
| Fax | 9542520207 |
Authorized person
| Name | DR. JOHN BANCROFT HYLTON |
| Role | PRESIDENT |
| Phone | 9542520083 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME0060538 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 374309800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HYLTON, JOHN B | Agent | 5721 PEPPERTREE LANE, DAVIE, FL 33314 |
| Name | Role | Address |
|---|---|---|
| HYLTON, JOHN B | Director | 5721 PEPPERTREE LANE, DAVIE, FL 33314 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-02-09 | 12323 SW 55TH STREET, # 1003, COOPER CITY, FL 33330 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-21 | 12323 SW 55TH STREET, # 1003, COOPER CITY, FL 33330 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-21 | 5721 PEPPERTREE LANE, DAVIE, FL 33314 | No data |
| REINSTATEMENT | 2003-10-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-02-20 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-03-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
