| Entity Name: | HEALTHCARE AMERICA MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
HEALTHCARE AMERICA MEDICAL GROUP, INC. 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: | 28 Oct 1994 (30 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | P94000079440 |
| FEI/EIN Number |
650527738
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3501 CORTEZ ROAD WEST, BRADENTON, FL, 34210, US |
| Mail Address: | 3501 CORTEZ ROAD WEST, BRADENTON, FL, 34210, US |
| ZIP code: | 34210 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487665642 | 2006-08-11 | 2008-08-06 | 3501 CORTEZ RD W, BRADENTON, FL, 342103104, US | 3501 CORTEZ RD W, BRADENTON, FL, 342103104, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-752-2700 |
| Fax | 9417522730 |
Authorized person
| Name | DR. WERTHER R. MARCIALES |
| Role | PRESIDENT |
| Phone | 9417522700 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 376937200 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHCARE AMERICA MEDICAL GROUP, INC. PROFIT SHARING/401K PLAN AND TRUST | 2009 | 650527738 | 2010-08-04 | HEALTHCARE AMERICA MEDICAL GROUP, INC. | 85 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 650527738 |
| Plan administrator’s name | HEALTHCARE AMERICA MEDICAL GROUP, INC. |
| Plan administrator’s address | 3501 CORTEZ ROAD W., BRADENTON, FL, 342103104 |
| Administrator’s telephone number | 9417522700 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-04 |
| Name of individual signing | WERTHER MARCIALES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FISHCO ROBERT M | Chairman of the Board | 8007 19TH AVE DR W, BRADENTON, FL, 34209 |
| NARASIMMAN ARUNA M | Treasurer | 7505 PALMER GLEN CIR, SARASOTA, FL, 34240 |
| NELSON JEFF M | Agent | 3501 CORTEZ ROAD WEST, BRADENTON, FL, 34210 |
| NELSON JEFF M | Vice President | 3304 PALMA SOLA BLVD., BRADENTON, FL, 34209 |
| URRUTIA LUIS M | Secretary | 608 51 ST NW, BRADENTON, FL, 34209 |
| MARCIALES WERTHER M | President | 1012 CIMARRON CIR, BRADENTON, FL, 34209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| AMENDMENT | 2004-02-24 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2001-07-03 | 3501 CORTEZ ROAD WEST, BRADENTON, FL 34210 | - |
| REGISTERED AGENT NAME CHANGED | 2001-07-03 | NELSON, JEFF MD | - |
| REINSTATEMENT | 2000-10-17 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 1999-07-19 | 3501 CORTEZ ROAD WEST, BRADENTON, FL 34210 | - |
| CHANGE OF MAILING ADDRESS | 1999-07-19 | 3501 CORTEZ ROAD WEST, BRADENTON, FL 34210 | - |
| NAME CHANGE AMENDMENT | 1999-05-05 | HEALTHCARE AMERICA MEDICAL GROUP, INC. | - |
| AMENDED AND RESTATEDARTICLES | 1995-01-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-02-01 |
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-05-02 |
| ANNUAL REPORT | 2007-04-06 |
| ANNUAL REPORT | 2006-09-05 |
| ANNUAL REPORT | 2005-01-27 |
| ANNUAL REPORT | 2004-04-05 |
| Amendment | 2004-02-24 |
| ANNUAL REPORT | 2003-04-25 |
| ANNUAL REPORT | 2002-05-01 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
