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GULF COAST IMMEDIATE CARE CENTER, INC. - Florida Company Profile

Company Details

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

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

Events

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. -

Documents

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4657947106 2020-04-13 0491 PPP 345 Miracle Strip Pkwy SW, FORT WALTON BEACH, FL, 32548-5210
Loan Status Date 2022-01-31
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 153587.5
Loan Approval Amount (current) 153587.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17104
Servicing Lender Name FNBT Bank
Servicing Lender Address 29 N Eglin Pkwy, FORT WALTON BEACH, FL, 32548-5452
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address FORT WALTON BEACH, OKALOOSA, FL, 32548-5210
Project Congressional District FL-01
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 17104
Originating Lender Name FNBT Bank
Originating Lender Address FORT WALTON BEACH, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 154509.02
Forgiveness Paid Date 2020-11-23

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P1810486 GULF COAST IMMEDIATE CARE CENTER, INC - TDM5U4ZG1K73 345 MIRACLE STRIP PKWY SW, FORT WALTON BEACH, FL, 32548-5210
Capabilities Statement Link -
Phone Number 850-244-3211
Fax Number 850-243-1992
E-mail Address jrobertson@gcic.gccoxmail.com
WWW Page www.gulfcoastimmediatecare.com
E-Commerce Website -
Contact Person JORDAN ROBERTSON
County Code (3 digit) 091
Congressional District 01
Metropolitan Statistical Area 2750
CAGE Code 71W28
Year Established 1984
Accepts Government Credit Card Yes
Legal Structure Subchapter S Corporation
Ownership and Self-Certifications -
Business Development Servicing Office NORTH FLORIDA DISTRICT OFFICE (SBA office code 0491)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords Family Physician Office Physicals Travel Vaccines
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications

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