| Entity Name: | CONCIERGE MEDICINE OF JUPITER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Jun 1998 (27 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 12 Apr 2021 (4 years ago) |
| Document Number: | P98000054113 |
| FEI/EIN Number | 650849517 |
| Address: | 2151 S. ALT A1A, 950, JUPITER, FL, 33477 |
| Mail Address: | 2151 S. ALT A1A, 950, JUPITER, FL, 33477 |
| ZIP code: | 33477 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912281130 | 2011-10-06 | 2021-08-09 | 2151 SOUTH ALT A1A SUITE 950, JUPITER, FL, 334774064, US | 2151 SOUTH ALT A1A SUITE 950, JUPITER, FL, 334774064, US | |||||||||||||||||||||||||
|
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| Phone | +1 561-743-2239 |
| Fax | 5617689700 |
Authorized person
| Name | CATHERINE G DROURR |
| Role | OWNER |
| Phone | 5617432239 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME72879 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE ID |
| Number | 42634A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DROURR CATHERINE | Agent | 2151 S. ALT A1A, JUPITER, FL, 33477 |
| Name | Role | Address |
|---|---|---|
| DROURR CATHERINE M | President | 2151 S. ALT A1A #950, JUPITER, FL, 33477 |
| Name | Role | Address |
|---|---|---|
| DROURR CATHERINE M | Vice President | 2151 S. ALT A1A #950, JUPITER, FL, 33477 |
| Name | Role | Address |
|---|---|---|
| DROURR CATHERINE M | Secretary | 2151 S. ALT A1A #950, JUPITER, FL, 33477 |
| Name | Role | Address |
|---|---|---|
| DROURR CATHERINE M | Treasurer | 2151 S. ALT A1A #950, JUPITER, FL, 33477 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000072451 | CONCIERGE/MEDICAL WEIGHT LOSS OF JUPITER | EXPIRED | 2011-07-20 | 2016-12-31 | No data | 2151 S ALT A1A STE 950, JUPITER, FL, 33477 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2021-04-12 | CONCIERGE MEDICINE OF JUPITER, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-21 | 2151 S. ALT A1A, 950, JUPITER, FL 33477 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-21 | 2151 S. ALT A1A, 950, JUPITER, FL 33477 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-21 | 2151 S. ALT A1A, 950, JUPITER, FL 33477 | No data |
| CANCEL ADM DISS/REV | 2004-10-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-03 |
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-09 |
| Name Change | 2021-04-12 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-03-16 |
| ANNUAL REPORT | 2018-01-20 |
| ANNUAL REPORT | 2017-01-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
