| 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 |
| 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 | |||||||||||||||||||||||||||||||
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| 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 |
| 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 |
| 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 | - | - |
| 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
