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SOUTH BEACH MEDICAL P.C.

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Company Details

Name: SOUTH BEACH MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Mar 2013 (12 years ago)
Entity Number: 4381020
ZIP code: 11520
County: Nassau
Place of Formation: New York
Address: 429 ATLANTIC AVENUE, SUITE 2A, FREEPORT, NY, United States, 11520

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 429 ATLANTIC AVENUE, SUITE 2A, FREEPORT, NY, United States, 11520

National Provider Identifier

NPI Number:
1699872499

Authorized Person:

Name:
MRS. KATHLEEN E GARCIA
Role:
CONTROLLER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7188698507

Form 5500 Series

Employer Identification Number (EIN):
113055646
Plan Year:
2023
Number Of Participants:
33
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
33
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
33
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
34
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
35
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
130329000209 2013-03-29 CERTIFICATE OF INCORPORATION 2013-03-29

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State