| Entity Name: | FLAGLER HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Jan 1985 (40 years ago) |
| Document Number: | H40580 |
| FEI/EIN Number | 592484352 |
| Address: | 400 HEALTH PARK BLVD., ST. AUGUSTINE, FL, 32086, US |
| Mail Address: | 400 HEALTH PARK BLVD., ST. AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801164504 | 2011-12-08 | 2011-12-08 | 400 HEALTH PARK BLVD, SAINT AUGUSTINE, FL, 320865784, US | 400 HEALTH PARK BLVD, SAINT AUGUSTINE, FL, 320865784, US | |||||||||||||||
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| Phone | +1 904-819-5155 |
| Fax | 9048194906 |
Authorized person
| Name | MR. JOSEPH S GORDY |
| Role | CEO |
| Phone | 9048194400 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Scott Carolyn | Agent | 100 Whetstone Place, St Augustine, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| CREVASSE BRIAN | Director | 400 HEALTH PARK BLVD., ST. AUGUSTINE, FL, 32086 |
| Taylor Karen | Director | 400 HEALTH PARK BLVD., ST. AUGUSTINE, FL, 32086 |
| Cline Shelby | Director | 400 HEALTH PARK BLVD., ST. AUGUSTINE, FL, 32086 |
| Matthews Rob | Director | 400 HEALTH PARK BLVD., ST. AUGUSTINE, FL, 32086 |
| Smith Eric Phd | Director | 400 HEALTH PARK BLVD., ST. AUGUSTINE, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| Taylor Karen | Chairman | 400 HEALTH PARK BLVD., ST. AUGUSTINE, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| DeVooght Carlton | President | 400 HEALTH PARK BLVD., ST. AUGUSTINE, FL, 32086 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000056626 | FLAGLER COMMUNITY PHYSICIANS | EXPIRED | 2017-05-22 | 2022-12-31 | No data | 400 HEALTH PARK BOULEVARD, ST AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2018-08-08 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
