Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Duval
    4. ›
  4. 32216
    5. ›
  5. CELESTE S. SOBERANO, MD, PA

CELESTE S. SOBERANO, MD, PA

Company Details

Entity Name: CELESTE S. SOBERANO, MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 19 Jul 1999 (26 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P99000066192
FEI/EIN Number 593591562
Address: 8833 PERIMETER PARK. BLVD., #401, JACKSONVILLE, FL, 32216
Mail Address: 8833 PERIMETER PARK. BLVD., JACKSONVILLE, FL, 32216, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659540565 2008-02-25 2012-09-25 8833 PERIMETER PARK BLVD, SUITE 401, JACKSONVILLE, FL, 322161109, US 8833 PERIMETER PARK BLVD, SUITE 401, JACKSONVILLE, FL, 322161109, US

Contacts
Phone +1 904-996-8090

Authorized person
Name CELESTE S SOBERANO
Role DOCTOR
Phone 9049968090

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME78567
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CELESTE S SOBERANO MD PA 401 K PROFIT SHARING PLAN TRUST 2014 593591562 2015-07-08 CELESTE S SOBERANO MD PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 9049968090
Plan sponsor’s address 8833 PERIMETER PARK BLVD STE 4, JACKSONVILLE, FL, 322161110

Signature of
Role Plan administrator
Date 2015-07-08
Name of individual signing CELESTE SOBERANO
Valid signature Filed with authorized/valid electronic signature
CELESTE S SOBERANO MD PA 401 K PROFIT SHARING PLAN TRUST 2014 593591562 2015-11-13 CELESTE S SOBERANO MD PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 9049968090
Plan sponsor’s address 8833 PERIMETER PARK BLVD STE 4, JACKSONVILLE, FL, 322161110

Signature of
Role Plan administrator
Date 2015-11-13
Name of individual signing CELESTE SOBERANO
Valid signature Filed with authorized/valid electronic signature
CELESTE S SOBERANO MD PA 401 K PROFIT SHARING PLAN TRUST 2013 593591562 2014-05-08 CELESTE S SOBERANO MD PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 9049968090
Plan sponsor’s address 8833 PERIMETER PARK BLVD STE 4, JACKSONVILLE, FL, 322161110

Signature of
Role Plan administrator
Date 2014-05-08
Name of individual signing CELESTE SOBERANO
Valid signature Filed with authorized/valid electronic signature
CELESTE S SOBERANO MD PA 401 K PROFIT SHARING PLAN TRUST 2012 593591562 2013-06-21 CELESTE S SOBERANO MD PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 9049968090
Plan sponsor’s address 8833 PERIMETER PARK BLVD STE 4, JACKSONVILLE, FL, 322161110

Signature of
Role Plan administrator
Date 2013-06-21
Name of individual signing CELESTE S SOBERANO MD PA
Valid signature Filed with authorized/valid electronic signature
CELESTE S SOBERANO MD PA 401 K PROFIT SHARING PLAN TRUST 2011 593591562 2012-05-24 CELESTE S. SOBERANO, MD, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9049968090
Plan sponsor’s address 8833 PERIMETER PARK BLVD STE 4, JACKSONVILLE, FL, 322161110

Plan administrator’s name and address
Administrator’s EIN 593591562
Plan administrator’s name CELESTE S. SOBERANO, MD, PA
Plan administrator’s address 8833 PERIMETER PARK BLVD STE 4, JACKSONVILLE, FL, 322161110
Administrator’s telephone number 9049968090

Signature of
Role Plan administrator
Date 2012-05-24
Name of individual signing CELESTE S. SOBERANO, MD, PA
Valid signature Filed with authorized/valid electronic signature
CELESTE S SOBERANO MD PA 401 K PROFIT SHARING PLAN TRUST 2010 593591562 2011-06-24 CELESTE S. SOBERANO, MD, PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9049968090
Plan sponsor’s address 8833 PERIMETER PARK BLVD 401, JACKSONVILLE, FL, 32216

Plan administrator’s name and address
Administrator’s EIN 593591562
Plan administrator’s name CELESTE S. SOBERANO, MD, PA
Plan administrator’s address 8833 PERIMETER PARK BLVD 401, JACKSONVILLE, FL, 32216
Administrator’s telephone number 9049968090

Signature of
Role Plan administrator
Date 2011-06-24
Name of individual signing CELESTE S. SOBERANO, MD, PA
Valid signature Filed with authorized/valid electronic signature
CELESTE S SOBERANO MD PA 2009 593591562 2010-07-22 CELESTE S. SOBERANO, MD, PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9049968090
Plan sponsor’s address 8833 PERIMETER PARK BLVD 401, JACKSONVILLE, FL, 32216

Plan administrator’s name and address
Administrator’s EIN 593591562
Plan administrator’s name CELESTE S. SOBERANO, MD, PA
Plan administrator’s address 8833 PERIMETER PARK BLVD 401, JACKSONVILLE, FL, 32216
Administrator’s telephone number 9049968090

Signature of
Role Plan administrator
Date 2010-07-22
Name of individual signing CELESTE S. SOBERANO, MD, PA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SOBERANO CELESTE SDr. Agent 8833 PERIMETER PARK. BLVD., JACKSONVILLE, FL, 32216

President

Name Role Address
SOBERANO CELESTE SDr. President 8833 PERIMETER PARK. BLVD., JACKSONVILLE, FL, 32216

Auth

Name Role Address
SOBERANO CELESTE SDr. Auth 8833 PERIMETER PARK. BLVD., JACKSONVILLE, FL, 32216

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000126554 ESPRIT ESTHETICS EXPIRED 2009-06-24 2024-12-31 No data 8833 PERIMETER PARK BLVD, SUITE 401, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REGISTERED AGENT NAME CHANGED 2020-04-05 SOBERANO, CELESTE SANTOS, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2020-04-05 8833 PERIMETER PARK. BLVD., #401, JACKSONVILLE, FL 32216 No data
CHANGE OF MAILING ADDRESS 2018-03-10 8833 PERIMETER PARK. BLVD., #401, JACKSONVILLE, FL 32216 No data
CHANGE OF PRINCIPAL ADDRESS 2007-03-16 8833 PERIMETER PARK. BLVD., #401, JACKSONVILLE, FL 32216 No data
AMENDMENT AND NAME CHANGE 2001-11-14 CELESTE S. SOBERANO, MD, PA No data

Documents

Name Date
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-04-05
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-03-26
ANNUAL REPORT 2016-07-08
ANNUAL REPORT 2015-02-11
ANNUAL REPORT 2014-02-20
ANNUAL REPORT 2013-03-13

Related by officers

SOBERANO CELESTE SDr.

M.C. SOBERANO HOLDINGS, LLC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated