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PATIENTS FIRST NORTHAMPTON MEDICAL CENTER, P.A. - Florida Company Profile

Company Details

Entity Name: PATIENTS FIRST NORTHAMPTON MEDICAL CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PATIENTS FIRST NORTHAMPTON MEDICAL CENTER, 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 17 Apr 1992 (33 years ago)
Date of dissolution: 21 Dec 2021 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 21 Dec 2021 (3 years ago)
Document Number: V29295
FEI/EIN Number 593122735

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

Address: 2675 Paces Ferry Rd, SE, Atlanta, GA, 30339, US
Mail Address: 2675 Paces Ferry Rd, SE, Atlanta, GA, 30339, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942231683 2006-07-05 2015-05-07 2907 KERRY FOREST PKWY, TALLAHASSEE, FL, 323096825, US 2907 KERRY FOREST PKWY, TALLAHASSEE, FL, 323096825, US

Contacts

Phone +1 850-668-3380
Fax 8506683226

Authorized person

Name RANDY R. REESE
Role MEDICAL DIRECTOR
Phone 8506683380

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number HCCR1657
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 253891100
State FL
Issuer RAILROAD MEDICARE PTAN
Number CL1424
State FL

Key Officers & Management

Name Role Address
Malik Roe Andrea L Chief Financial Officer 2675 Paces Ferry Road SE, Atlanta, GA, 30339
Miller William CJr. Chief Executive Officer 2675 Paces Ferry Road SE, Atlanta, GA, 30339
Baker Nakenya Sr 2907 KERRY FOREST PKWY., TALLAHASSEE, FL, 32309
Malik Roe Andrea L Agent 2907 KERRY FOREST PKWY., TALLAHASSEE, FL, 32309

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-12-21 - -
CHANGE OF PRINCIPAL ADDRESS 2018-02-28 2675 Paces Ferry Rd, SE, Suite 200, Atlanta, GA 30339 -
CHANGE OF MAILING ADDRESS 2018-02-28 2675 Paces Ferry Rd, SE, Suite 200, Atlanta, GA 30339 -
REGISTERED AGENT ADDRESS CHANGED 2017-03-29 2907 KERRY FOREST PKWY., TALLAHASSEE, FL 32309 -
REGISTERED AGENT NAME CHANGED 2017-03-29 Malik Roe, Andrea L -
REINSTATEMENT 1994-07-05 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1993-08-13 - -

Documents

Name Date
Voluntary Dissolution 2021-12-21
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-02-28
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-04-08
ANNUAL REPORT 2014-03-21
ANNUAL REPORT 2013-03-22

Date of last update: 02 Mar 2025

Sources: Florida Department of State