| Name: | MDLive Medical Group (DE), P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Foreign Business Corporation |
| Status: | Active-Good Standing |
| Date of registration: | 15 Dec 2022 (2 years ago) |
| Financial Date End: | 31 Dec 2025 |
| Entity Number: | 5031430 |
| Place of Formation: | DELAWARE |
| File Number: | 854015 |
| Principal Address: | 3350 SW 148TH AVENUE, SUITE 300 MIRAMAR, FL 33027 |
| Mailing Address: | STE 300 3350 SW 148TH AVE MIRAMAR, FL 33027-3259 |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 1555 W SHORELINE DR, STE 100, BOISE, ID 83702 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Thomas Fordham Brewer, MD | President | 3350 SW 148TH AVE, MIRAMAR, FL 33027-3259 | 2024-01-09 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Thomas Fordham Brewer, MD | Director | 3350 SW 148TH AVE, MIRAMAR, FL 33027-3259 | 2024-01-09 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Thomas Fordham Brewer, MD | Secretary | 3350 SW 148TH AVE, MIRAMAR, FL 33027-3259 | 2024-01-09 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Thomas Fordham Brewer, MD | Treasurer | 3350 SW 148TH AVE, MIRAMAR, FL 33027-3259 | 2024-01-09 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006033273 | 2024-12-23 |
| Annual Report | 0005551631 | 2024-01-09 |
| Initial Filing | 0005031430 | 2022-12-15 |
Date of last update: 07 Jan 2025
Sources: Idaho Secretary of State
