| Entity Name: | JOSE SELEM M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JOSE SELEM 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: | 26 Dec 1995 (29 years ago) |
| Document Number: | P96000000993 |
| FEI/EIN Number |
650639446
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1416 CASTILLE AVE, CORAL GABLES, FL, 33134, US |
| Mail Address: | 1416 CASTILE AVE, CORAL GABLES, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639124381 | 2006-05-23 | 2022-11-07 | 1416 CASTILE AVE, CORAL GABLES, FL, 33134, US | 814 PONCE DE LEON BLVD, STE 510, CORAL GABLES, FL, 33134, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-720-8668 |
| Fax | 3054440223 |
| Phone | +1 305-444-0221 |
Authorized person
| Name | JOSE S SELEM |
| Role | PRESIDENT |
| Phone | 3057208668 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME 43829 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 068561500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SELEM JOSE M | President | 1416 CATILE AVE, CORAL GABLES, FL, 33134 |
| SELEM JOSE M | Secretary | 1416 CATILE AVE, CORAL GABLES, FL, 33134 |
| SELEM JOSE M | Treasurer | 1416 CATILE AVE, CORAL GABLES, FL, 33134 |
| SELEM JOSE M | Director | 1416 CATILE AVE, CORAL GABLES, FL, 33134 |
| SELEM JOSE M | Agent | 1416 CASTILE AVE, CORAL GABLES, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-02 | 1416 CASTILLE AVE, CORAL GABLES, FL 33134 | - |
| CHANGE OF MAILING ADDRESS | 2010-03-02 | 1416 CASTILLE AVE, CORAL GABLES, FL 33134 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-02 | 1416 CASTILE AVE, CORAL GABLES, FL 33134 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-02-21 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
