| Entity Name: | SAMUEL M. EDWARDS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SAMUEL M. EDWARDS, 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: | 04 Mar 1997 (28 years ago) |
| Document Number: | P97000021770 |
| FEI/EIN Number |
593429448
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 750 W. PLYMOUTH AVE., DELAND, FL, 32720 |
| Mail Address: | 750 W. PLYMOUTH AVE., DELAND, FL, 32720 |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023394707 | 2011-10-26 | 2011-10-26 | 750 W PLYMOUTH AVE, DELAND, FL, 327203282, US | 750 W PLYMOUTH AVE, DELAND, FL, 327203282, US | |||||||||||||||||||||||||
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| Phone | +1 386-736-7244 |
| Fax | 3867368538 |
Authorized person
| Name | MRS. LYNETTE A TARNOWSKI |
| Role | OFFICE MANAGER |
| Phone | 3867367244 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0066309 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 272821400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EDWARDS SAMUEL M | President | 750 W. PLYMOUTH AVE., DELAND, FL, 32720 |
| EDWARDS SAMUEL M | Agent | 750 W. PLYMOUTH AVE., DELAND, FL, 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2002-07-02 | 750 W. PLYMOUTH AVE., DELAND, FL 32720 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-06-12 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9972667206 | 2020-04-28 | 0491 | PPP | 750 W Plymouth Avenue, Deland, FL, 32720 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
