| Entity Name: | NORTH FLORIDA MEDICAL CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
NORTH FLORIDA MEDICAL CORP. 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: | 26 Apr 1989 (36 years ago) |
| Document Number: | K83803 |
| FEI/EIN Number |
592946071
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 655 E MAIN STREET, LAKE BUTLER, FL, 32054 |
| Mail Address: | 655 E MAIN STREET, LAKE BUTLER, FL, 32054 |
| ZIP code: | 32054 |
| County: | Union |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790839678 | 2007-01-22 | 2012-05-24 | 655 E MAIN ST, LAKE BUTLER, FL, 320541352, US | 655 E MAIN ST, LAKE BUTLER, FL, 320541352, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-496-3656 |
Authorized person
| Name | SALVADOR ANTONIO PEREZ |
| Role | PRESIDENT |
| Phone | 3864961575 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 576 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 32011614 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | M1087 |
| State | FL |
| Issuer | MEDICAID |
| Number | 027755000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ SALVADOR A | President | 270 N.E. 8TH AVE., LAKE BUTLER, FL, 32054 |
| PEREZ SALVADOR A | Director | 270 N.E. 8TH AVE., LAKE BUTLER, FL, 32054 |
| PEREZ GRACE P | Director | 270 NE 8TH AVENUE, LAKE BUTLER, FL, 32054 |
| PEREZ GRACE P | Secretary | 270 NE 8TH AVENUE, LAKE BUTLER, FL, 32054 |
| PEREZ SALVADOR A | Agent | 270 NE 8TH AVE., LAKE BUTLER, FL, 32054 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000050856 | UNION MEDICAL SUPPLY | ACTIVE | 2012-06-04 | 2027-12-31 | - | 655 E. MAIN STREET, LAKE BUTLER, FL, 32054 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-08 | 655 E MAIN STREET, LAKE BUTLER, FL 32054 | - |
| CHANGE OF MAILING ADDRESS | 2012-02-08 | 655 E MAIN STREET, LAKE BUTLER, FL 32054 | - |
| REGISTERED AGENT NAME CHANGED | 2010-04-25 | PEREZ, SALVADOR A | - |
| REGISTERED AGENT ADDRESS CHANGED | 1997-01-14 | 270 NE 8TH AVE., LAKE BUTLER, FL 32054 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-04-16 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8893418706 | 2021-04-08 | 0491 | PPS | 655 E Main St, Lake Butler, FL, 32054-1352 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2137007103 | 2020-04-10 | 0491 | PPP | 655 East Main Street, Lake Butler, FL, 32054-1352 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
