| Entity Name: | GULF COAST IMMEDIATE CARE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
GULF COAST IMMEDIATE CARE CENTER, INC. 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: | 02 Sep 1983 (42 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 1996 (28 years ago) |
| Document Number: | G58172 |
| FEI/EIN Number |
592326642
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 345 MIRACLE STRIP PKWY., SW, FT. WALTON BEACH, FL, 32548 |
| Mail Address: | 345 MIRACLE STRIP PKWY., SW, FT. WALTON BEACH, FL, 32548 |
| ZIP code: | 32548 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437113057 | 2006-04-12 | 2020-08-22 | 345 MIRACLE STRIP PKWY SW, FORT WALTON BEACH, FL, 325485210, US | 345 MIRACLE STRIP PKWY SW, FORT WALTON BEACH, FL, 325485210, US | |||||||||||||||||||
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| Phone | +1 850-244-3211 |
| Fax | 8502431992 |
Authorized person
| Name | ROBERT V SIEGEL |
| Role | MEDICAL DIRECTOR/OWNER |
| Phone | 8502443211 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 0602460 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SIEGEL, ROBERT M.D. | President | 345 MIRACLE STRIP PKWY., SW, FT. WALTON BEACH, FL, 32548 |
| SIEGEL, ROBERT V., M.D. | Agent | 345 MIRACLE STRIP PKWY., SW, FT. WALTON BEACH, FL, 32548 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 1996-10-02 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 1996-10-02 | 345 MIRACLE STRIP PKWY., SW, FT. WALTON BEACH, FL 32548 | - |
| CHANGE OF MAILING ADDRESS | 1996-10-02 | 345 MIRACLE STRIP PKWY., SW, FT. WALTON BEACH, FL 32548 | - |
| REGISTERED AGENT ADDRESS CHANGED | 1996-10-02 | 345 MIRACLE STRIP PKWY., SW, FT. WALTON BEACH, FL 32548 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | - | - |
| REGISTERED AGENT NAME CHANGED | 1988-03-04 | SIEGEL, ROBERT V., M.D. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-03-24 |
| ANNUAL REPORT | 2015-03-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4657947106 | 2020-04-13 | 0491 | PPP | 345 Miracle Strip Pkwy SW, FORT WALTON BEACH, FL, 32548-5210 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P1810486 | GULF COAST IMMEDIATE CARE CENTER, INC | - | TDM5U4ZG1K73 | 345 MIRACLE STRIP PKWY SW, FORT WALTON BEACH, FL, 32548-5210 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | $0 |
| Description | Construction Bonding Level (aggregate) |
| Level | $0 |
| Description | Service Bonding Level (per contract) |
| Level | $0 |
| Description | Service Bonding Level (aggregate) |
| Level | $0 |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621111 |
| NAICS Code's Description | Offices of Physicians (except Mental Health Specialists) |
| Small | Yes |
Export Profile (Trade Mission Online)
| Exporter | No |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
