| Entity Name: | BAY AREA CHEST PHYSICIANS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BAY AREA CHEST PHYSICIANS, 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: | 28 Dec 1990 (34 years ago) |
| Document Number: | S21598 |
| FEI/EIN Number |
593051816
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 430 Morton Plant St., Suite 405, CLEARWATER, FL, 33756, US |
| Mail Address: | 430 Morton Plant St., Suite 405, CLEARWATER, FL, 33756, US |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972584829 | 2005-11-08 | 2014-05-12 | 430 MORTON PLANT STREET, SUITE 405, CLEARWATER, FL, 337563394, US | 430 MORTON PLANT STREET, SUITE 405, CLEARWATER, FL, 337563394, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 727-443-0611 |
| Fax | 7274615493 |
Authorized person
| Name | TODD BURCH |
| Role | PRACTICE ADMIN |
| Phone | 7274430611 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 267138700 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAY AREA CHEST PHYSICIANS, P.A. CASH BALANCE PENSION PLAN | 2023 | 593051816 | 2024-06-18 | BAY AREA CHEST PHYSICIANS, P.A. | 13 | |||||||||||||||||||||||||||||||
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| BAY AREA CHEST PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN | 2012 | 593051816 | 2013-06-28 | BAY AREA CHEST PHYSICIANS, P.A. | 32 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-06-28 |
| Name of individual signing | DEVENDRA AMIN, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1987-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7274430611 |
| Plan sponsor’s address | 616 E ST, CLEARWATER, FL, 33756 |
Plan administrator’s name and address
| Administrator’s EIN | 593051816 |
| Plan administrator’s name | BAY AREA CHEST PHYSICIANS, P.A. |
| Plan administrator’s address | 616 E ST, CLEARWATER, FL, 33756 |
| Administrator’s telephone number | 7274430611 |
Signature of
| Role | Plan administrator |
| Date | 2012-05-17 |
| Name of individual signing | JOHN MASSON, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1987-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7274430611 |
| Plan sponsor’s address | 616 E ST, CLEARWATER, FL, 33756 |
Plan administrator’s name and address
| Administrator’s EIN | 593051816 |
| Plan administrator’s name | BAY AREA CHEST PHYSICIANS, P.A. |
| Plan administrator’s address | 616 E ST, CLEARWATER, FL, 33756 |
| Administrator’s telephone number | 7274430611 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-20 |
| Name of individual signing | ELI H. FREILICH, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1987-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7274430611 |
| Plan sponsor’s address | 616 E ST, CLEARWATER, FL, 33756 |
Plan administrator’s name and address
| Administrator’s EIN | 593051816 |
| Plan administrator’s name | BAY AREA CHEST PHYSICIANS, P.A. |
| Plan administrator’s address | 616 E ST, CLEARWATER, FL, 33756 |
| Administrator’s telephone number | 7274430611 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-02 |
| Name of individual signing | ELI H. FREILICH, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MASSON JOHN AMD | Officer | 430 Morton Plant St., CLEARWATER, FL, 33756 |
| ORLANDO DANIEL AMD | Officer | 430 Morton Plant St, CLEARWATER, FL, 33756 |
| GAVI ELI MD | Officer | 430 Morton Plant St., CLEARWATER, FL, 33756 |
| Eckardt Shea MMD | Officer | 430 Morton Plant St., Clearwater, FL, 33756 |
| Castro Alfonso MD | Officer | 430 Morton Plant St., CLEARWATER, FL, 33756 |
| Romero Joseph ADO | Officer | 430 Morton Plant Street, Clearwater, FL, 33756 |
| Masson John AMD | Agent | 430 Morton Plant St., CLEARWATER, FL, 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-02-16 | Masson, John A, MD | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-30 | 430 Morton Plant St., Suite 405, CLEARWATER, FL 33756 | - |
| CHANGE OF MAILING ADDRESS | 2013-04-30 | 430 Morton Plant St., Suite 405, CLEARWATER, FL 33756 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-30 | 430 Morton Plant St., Suite 405, CLEARWATER, FL 33756 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000869280 | TERMINATED | 1000000497355 | PINELLAS | 2013-04-24 | 2033-05-03 | $ 1,874.09 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CLEARWATER SERVICE CENTER, 19337 US HIGHWAY 19 N STE 200, CLEARWATER FL337643149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-16 |
| AMENDED ANNUAL REPORT | 2019-12-05 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
