| Entity Name: | WESTON MEDICAL CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WESTON MEDICAL CLINIC, INC. 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: | 13 Apr 1999 (26 years ago) |
| Document Number: | P99000033438 |
| FEI/EIN Number |
650938092
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 17120 ROYAL PALM BLVD, STE 4, WESTON, FL, 33326, US |
| Mail Address: | 17120 ROYAL PALM BLVD, STE 4, WESTON, FL, 33326, US |
| ZIP code: | 33326 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609894484 | 2006-07-18 | 2010-08-30 | 17120 ROYAL PALM BLVD, SUITE 4, WESTON, FL, 333262310, US | 17120 ROYAL PALM BLVD, SUITE 4, WESTON, FL, 333262310, US | |||||||||||||||||||||||||
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| Phone | +1 954-385-3711 |
| Fax | 9543859366 |
Authorized person
| Name | PHANOR CALLE |
| Role | PRESIDENT |
| Phone | 9543859711 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0073727 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 255505100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CALLE PHANOR | President | 17120 ROYAL PALM BLVD SUITE 4, WESTON, FL, 33326 |
| CALLE PHANOR | Secretary | 17120 ROYAL PALM BLVD SUITE 4, WESTON, FL, 33326 |
| CALLE PHANOR | Treasurer | 17120 ROYAL PALM BLVD SUITE 4, WESTON, FL, 33326 |
| CALLE PHANOR | Agent | 17120 ROYAL PALM BLVD, WESTON, FL, 33326 |
| CALLE PHANOR | Vice President | 17120 ROYAL PALM BLVD SUITE 4, WESTON, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-12 | 17120 ROYAL PALM BLVD, STE 4, WESTON, FL 33326 | - |
| CHANGE OF MAILING ADDRESS | 2006-04-12 | 17120 ROYAL PALM BLVD, STE 4, WESTON, FL 33326 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-12 | 17120 ROYAL PALM BLVD, SUITE 4, WESTON, FL 33326 | - |
| REGISTERED AGENT NAME CHANGED | 2003-04-25 | CALLE, PHANOR | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4692477701 | 2020-05-01 | 0455 | PPP | 17120 ROYAL PALM BLVD SUITE 4, WESTON, FL, 33326 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
