| Entity Name: | JOSEPH SHALIT, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JOSEPH SHALIT, 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: | 17 May 1996 (29 years ago) |
| Document Number: | P96000044042 |
| FEI/EIN Number |
593396174
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | SHALIT JOSEPH, 484 NORTH WILSON STREET, CRESTVIEW, FL, 32536, US |
| Mail Address: | SHALIT JOSEPH, P.O. BOX 160, CRESTVIEW, FL, 32536, US |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356650683 | 2010-10-05 | 2010-10-05 | 484 N WILSON ST, CRESTVIEW, FL, 325363442, US | 484 N WILSON ST, CRESTVIEW, FL, 325363442, US | |||||||||||||||||||||||||
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| Phone | +1 850-682-1022 |
| Fax | 8506822384 |
Authorized person
| Name | DR. JOSEPH SHALIT |
| Role | PRESIDENT |
| Phone | 8506821022 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME67718 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE IDENTIFICATION NUMBER |
| Number | 26606 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHALIT JOSEPH | Director | 484 NORTH WILSON STREET, CRESTVIEW, FL, 32536 |
| SHALIT JOSEPH | Agent | 143 Conquest Ave, Crestview, FL, 32536 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-30 | 143 Conquest Ave, Crestview, FL 32536 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-05-28 | SHALIT JOSEPH, 484 NORTH WILSON STREET, CRESTVIEW, FL 32536 | - |
| CHANGE OF MAILING ADDRESS | 2005-04-06 | SHALIT JOSEPH, 484 NORTH WILSON STREET, CRESTVIEW, FL 32536 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000368484 | TERMINATED | 1000000714859 | OKALOOSA | 2016-06-06 | 2036-06-08 | $ 1,768.64 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-05-05 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
