| Entity Name: | DEAN EDMUND ALTENHOFEN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DEAN EDMUND ALTENHOFEN, 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: | 31 Jan 1997 (28 years ago) |
| Document Number: | P97000009764 |
| FEI/EIN Number |
593428041
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4455 Devereux Place, Pensacola, FL, 32504, US |
| Mail Address: | 4455 Devereux Place, Pensacola, FL, 32504, US |
| ZIP code: | 32504 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003193756 | 2011-11-09 | 2011-11-28 | 6110 N DAVIS HWY, PENSACOLA, FL, 325046950, US | 6110 N DAVIS HWY, PENSACOLA, FL, 325046950, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-475-0902 |
| Fax | 8504750908 |
Authorized person
| Name | DR. DEAN E ALTENHOFEN |
| Role | PHYSICIAN |
| Phone | 8504750902 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | ME0046652 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 047401100 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Number | 02245 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD OF ALABAMA |
| Number | 59146654 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Altenhofen Dean E | President | 4455 Devereux Place, Pensacola, FL, 32504 |
| ALTENHOFEN DEAN E | Agent | 4455 Devereux Place, Pensacola, FL, 32504 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000019090 | DEAN E. ALTENHOFEN, M.D., P.A. | ACTIVE | 2022-01-18 | 2027-12-31 | - | 6110 N. DAVIS HIGHWAY, PENSACOLA, FL, 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-02-15 | 4455 Devereux Place, Pensacola, FL 32504 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-15 | 4455 Devereux Place, Pensacola, FL 32504 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-15 | 4455 Devereux Place, Pensacola, FL 32504 | - |
| REGISTERED AGENT NAME CHANGED | 2021-11-17 | ALTENHOFEN, DEAN E. | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000549644 | LAPSED | 502017CA002994 | FIFTEENTH JUDICIAL CIRCUIT | 2017-10-02 | 2022-10-09 | $12,377.54 | MED DIRECT CAPITAL, LLC, 151 NW 1ST AVE, DELRAY, BEACH, FLORIDA 33444 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-20 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-02-15 |
| AMENDED ANNUAL REPORT | 2021-11-17 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-01-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7076498006 | 2020-06-30 | 0491 | PPP | 6110 N DAVIS HWY, PENSACOLA, FL, 32504-6950 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
