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LISA M. JUDGE, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: LISA M. JUDGE, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LISA M. JUDGE, 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: 10 Sep 1998 (27 years ago)
Document Number: P98000079923
FEI/EIN Number 593531729

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 552 TWIN CITIES BLVD. SUITE C, NICEVILLE, FL, 32578
Mail Address: 552 TWIN CITIES BLVD. SUITE C, NICEVILLE, FL, 32578
ZIP code: 32578
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124220009 2007-06-04 2009-06-23 552 TWIN CITIES BLVD, SUITE C, NICEVILLE, FL, 325781055, US 552 TWIN CITIES BLVD, SUITE C, NICEVILLE, FL, 325781055, US

Contacts

Phone +1 850-729-1414
Fax 8507298700

Authorized person

Name LYNN ROUTHIER
Role PRACTICE MANAGER
Phone 8507291414

Taxonomy

Taxonomy Code 207VG0400X - Gynecology Physician
Is Primary Yes

Other Provider Identifiers

Issuer RR MEDICARE GROUP PTAN
Number DN7294
State FL

Key Officers & Management

Name Role Address
JUDGE LISA M Director 552 TWIN CITIES BLVD STE C, NICEVILLE, FL, 32578
FLEET H BART Agent FLEET, SPENCER, MARTIN & KILPATRICK, PA, SHALIMAR, FL, 325790000

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-04-17 552 TWIN CITIES BLVD. SUITE C, NICEVILLE, FL 32578 -
CHANGE OF MAILING ADDRESS 2009-04-17 552 TWIN CITIES BLVD. SUITE C, NICEVILLE, FL 32578 -
REGISTERED AGENT ADDRESS CHANGED 2003-09-18 FLEET, SPENCER, MARTIN & KILPATRICK, PA, 1104 EGLIN PARKWAY, SHALIMAR, FL 32579-0000 -

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-06
ANNUAL REPORT 2020-01-25
ANNUAL REPORT 2019-05-22
ANNUAL REPORT 2018-01-21
ANNUAL REPORT 2017-02-26
ANNUAL REPORT 2016-04-05
ANNUAL REPORT 2015-01-10

Date of last update: 01 Apr 2025

Sources: Florida Department of State