| Entity Name: | MARIA E. MORA, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MARIA E. MORA, MD, PA 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: | 06 Aug 1999 (26 years ago) |
| Document Number: | P99000070113 |
| FEI/EIN Number |
593581047
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 91 BRANSCOMB ROAD, SUITE #3, GREEN COVE SPRINGS, FL, 32043, US |
| Mail Address: | 91 BRANSCOMB ROAD, SUITE #3, GREEN COVE SPRINGS, FL, 32043, US |
| ZIP code: | 32043 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184657306 | 2006-07-09 | 2024-01-06 | 91 BRANSCOMB RD STE 3, GREEN COVE SPRINGS, FL, 320437222, US | 91 BRANSCOMB RD STE 3, GREEN COVE SPRINGS, FL, 320437222, US | |||||||||||||||||||||||||||||
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| Phone | +1 904-861-1034 |
| Fax | 9048611037 |
Authorized person
| Name | MARIA ELENA MORA |
| Role | PRESIDENT |
| Phone | 9048611034 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| License Number | PA9104224 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 271515500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MORA MARIA E | Director | 4443 SUMMER WALK COURT, JACKSONVILLE, FL, 32258 |
| MORA MARIA E | Agent | 4443 SUMMER WALK COURT, JACKSONVILLE, FL, 32258 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000131574 | MIDDLEBURG PEDIATRICS | ACTIVE | 2020-10-09 | 2025-12-31 | - | 91 BRANSCOMB ROAD, SUITE 3, GREEN COVE SPRINGS, FL, 32043 |
| G20000131580 | NORMANDY PEDIATRICS | ACTIVE | 2020-10-09 | 2025-12-31 | - | 10250 NORMANDY BLVD, #201, JACKSONVILLE, FL, 32221 |
| G09000138804 | NORMANDY PEDIATRICS | EXPIRED | 2009-07-27 | 2014-12-31 | - | 3839 COUNTY ROAD 218 EAST, SUITE C, MIDDLEBURG, FL, 32068 |
| G09099900285 | MIDDLEBURG PEDIATRICS | EXPIRED | 2009-04-09 | 2014-12-31 | - | 3839 COUNTY ROAD 218 EAST, SUITE C, MIDDLEBURG, FL, 32068 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-16 | 91 BRANSCOMB ROAD, SUITE #3, GREEN COVE SPRINGS, FL 32043 | - |
| CHANGE OF MAILING ADDRESS | 2013-04-16 | 91 BRANSCOMB ROAD, SUITE #3, GREEN COVE SPRINGS, FL 32043 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-07-19 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2711967202 | 2020-04-16 | 0491 | PPP | 91 BRANSCOMB ROAD, GREEN COVE SPRINGS, FL, 32043-7223 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
