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  5. MICHAEL J. BROOM, M.D., P.A.

MICHAEL J. BROOM, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: MICHAEL J. BROOM, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MICHAEL J. BROOM, 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: 16 Jan 1996 (29 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 23 Jun 2023 (2 years ago)
Document Number: P96000005542
FEI/EIN Number 593351304

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1405 S. ORANGE AVE, #200, ORLANDO, FL, 32806, US
Mail Address: PO BOX 568008, ORLANDO, FL, 32856-8008, US
ZIP code: 32806
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881874154 2007-11-05 2009-04-06 PO BOX 568008, ORLANDO, FL, 328568008, US 1405 S ORANGE AVE, SECOND FLOOR, ORLANDO, FL, 328062154, US

Contacts
Phone +1 407-481-2244
Fax 4074818160

Authorized person
Name CHRIS BYRNES
Role ADDMIN
Phone 4074812244

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME0052975
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL J. BROOM, M.D., P.A. PROFIT SHARING AND 401K PLAN 2023 593351304 2025-01-15 MICHAEL J. BROOM, M.D., P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 568008, ORLANDO, FL, 328568008

Signature of
Role Plan administrator
Date 2025-01-15
Name of individual signing CHRISTINE BYRNES
Valid signature Filed with authorized/valid electronic signature
MICHAEL J. BROOM, M.D., P.A. PROFIT SHARING AND 401K PLAN 2022 593351304 2023-09-14 MICHAEL J. BROOM, M.D., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 568008, ORLANDO, FL, 328568008

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing CHRISTINE BYRNES
Valid signature Filed with authorized/valid electronic signature
MICHAEL J. BROOM, M.D., P.A. PROFIT SHARING AND 401K PLAN 2021 593351304 2023-02-10 MICHAEL J. BROOM, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 568008, ORLANDO, FL, 328568008

Signature of
Role Plan administrator
Date 2023-02-10
Name of individual signing CHRISTINE BYRNES
Valid signature Filed with authorized/valid electronic signature
MICHAEL J. BROOM, M.D., P.A. PROFIT SHARING AND 401K PLAN 2020 593351304 2021-10-07 MICHAEL J. BROOM, M.D., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 568008, ORLANDO, FL, 328568008
MICHAEL J. BROOM, M.D., P.A. PROFIT SHARING AND 401K PLAN 2019 593351304 2020-09-25 MICHAEL J. BROOM, M.D., P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 568008, ORLANDO, FL, 328568008
MICHAEL J. BROOM, M.D., P.A. PROFIT SHARING AND 401K PLAN 2018 593351304 2019-10-09 MICHAEL J. BROOM, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 568008, ORLANDO, FL, 328568008
MICHAEL J. BROOM, M.D., P.A. PROFIT SHARING AND 401K PLAN 2017 593351304 2018-10-08 MICHAEL J. BROOM, M.D., P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 568008, ORLANDO, FL, 328568008

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing MICHAEL J. BROOM, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-08
Name of individual signing MICHAEL J. BROOM, M.D.
Valid signature Filed with authorized/valid electronic signature
MICHAEL J. BROOM, M.D., P.A. PROFIT SHARING AND 401K PLAN 2016 593351304 2017-10-11 MICHAEL J. BROOM, M.D., P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 568008, ORLANDO, FL, 328568008
MICHAEL J. BROOM, M.D., P.A. PROFIT SHARING AND 401K PLAN 2015 593351304 2016-09-30 MICHAEL J. BROOM, M.D., P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 568008, ORLANDO, FL, 328568008

Signature of
Role Plan administrator
Date 2016-09-30
Name of individual signing MICHAEL J. BROOM, M.D.
Valid signature Filed with authorized/valid electronic signature
MICHAEL J. BROOM, M.D., P.A. PROFIT SHARING AND 401K PLAN 2014 593351304 2015-09-28 MICHAEL J. BROOM, M.D., P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address P.O. BOX 568008, ORLANDO, FL, 328568008

Signature of
Role Plan administrator
Date 2015-09-28
Name of individual signing MICHAEL J. BROOM, M.D.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BROOM MICHAEL J President 1405 S. ORANGE AVE #200, ORLANDO, FL, 32806
BROOM MICHAEL J Agent 1405 SOUTH ORANGE AVE, ORLANDO, FL, 32806

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000041255 FLORIDA SPINECARE CENTER ACTIVE 2017-04-17 2027-12-31 - P.O. BOX 568008, ORLANDO, FL, 32856

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-06-23 BROOM, MICHAEL JM.D. -
REINSTATEMENT 2023-06-23 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
REINSTATEMENT 2012-04-26 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2010-04-26 1405 S. ORANGE AVE, #200, ORLANDO, FL 32806 -
REGISTERED AGENT ADDRESS CHANGED 2010-04-26 1405 SOUTH ORANGE AVE, #200, ORLANDO, FL 32806 -
CANCEL ADM DISS/REV 2006-10-17 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -
CHANGE OF MAILING ADDRESS 2004-07-08 1405 S. ORANGE AVE, #200, ORLANDO, FL 32806 -

Documents

Name Date
ANNUAL REPORT 2024-04-29
REINSTATEMENT 2023-06-23
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-21
ANNUAL REPORT 2014-04-16

Companies related by officers

No other companies in our directory share the same officers as MICHAEL J. BROOM, M.D., P.A.

Companies related by address

No other companies in our directory share the same address as MICHAEL J. BROOM, M.D., P.A.

Date of last update: 01 Mar 2025

Sources: Florida Department of State

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