| Entity Name: | JOHN J. O'BRIEN, JR., M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JOHN J. O'BRIEN, JR., 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: | 01 May 1995 (30 years ago) |
| Document Number: | P95000033577 |
| FEI/EIN Number |
593312517
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7855 38TH AVE. NORTH, ST PETERSBURG, FL, 33710 |
| Mail Address: | 7855 38TH AVE. NORTH, ST PETERSBURG, FL, 33710 |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568621522 | 2008-06-05 | 2008-06-05 | 7855 38TH AVE N, ST PETERSBURG, FL, 337101134, US | 7855 38TH AVE N, ST PETERSBURG, FL, 337101134, US | |||||||||||||||||||||||||||||||
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| Phone | +1 727-341-2408 |
| Fax | 7273412708 |
Authorized person
| Name | MS. COLLEEN M O'BRIEN |
| Role | BILLING DEPARTMENT |
| Phone | 7273412408 |
Taxonomy
| Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
| License Number | ME0066063 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 375259300 |
| State | FL |
| Issuer | BXBS |
| Number | 25235 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| O'BRIEN JOHN J | Director | 7719 HUNTER LANE, PINELLAS PARK, FL, 34666 |
| O'BRIEN MICHAEL D | Chief Financial Officer | 1021 NEW DAWN LANE, ODENTON, MD, 21113 |
| O'BRIEN JOHN J | Agent | 7855 38TH AVE. NORTH, ST PETERSBURG, FL, 33710 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000056587 | ST. PETERSBURG CENTER FOR PLASTIC SURGERY | ACTIVE | 2019-05-13 | 2029-12-31 | - | 7855 38TH AVE N, SAINT PETERSBURG, FL, 33710 |
| G09000139381 | ST. PETERSBURG CENTER FOR PLASTIC SURGERY | EXPIRED | 2009-07-28 | 2014-12-31 | - | 7855 38TH AVENUE NORTH, ST. PETERSBURG, FL, 33710 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2009-10-02 | O'BRIEN, JOHN JJR.M.D. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-10-02 | 7855 38TH AVE. NORTH, ST PETERSBURG, FL 33710 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-30 | 7855 38TH AVE. NORTH, ST PETERSBURG, FL 33710 | - |
| CHANGE OF MAILING ADDRESS | 2005-04-30 | 7855 38TH AVE. NORTH, ST PETERSBURG, FL 33710 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-03-27 |
| ANNUAL REPORT | 2021-03-20 |
| ANNUAL REPORT | 2020-07-18 |
| ANNUAL REPORT | 2019-04-07 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-03-10 |
| ANNUAL REPORT | 2016-07-11 |
| ANNUAL REPORT | 2015-04-05 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2634617306 | 2020-04-29 | 0455 | PPP | 7855 38th Ave North,, Saint Petersburg, FL, 33710 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4396638409 | 2021-02-06 | 0455 | PPS | 7855 38th Ave N, Saint Petersburg, FL, 33710-1152 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
