| Entity Name: | PCP FINANCIAL SERVICES, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PCP FINANCIAL SERVICES, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 23 Apr 2001 (24 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 15 Feb 2017 (8 years ago) |
| Document Number: | L01000006246 |
| FEI/EIN Number |
593731973
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 705 Wells Road, Suite 300, Orange Park, FL, 32073, US |
| Address: | 705 Wells Road, Suite 300, Jacksonville, FL, 32244, US |
| ZIP code: | 32244 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134378078 | 2008-09-16 | 2024-04-26 | 705 WELLS RD STE 300, ORANGE PARK, FL, 320732982, US | 705 WELLS RD STE 300, ORANGE PARK, FL, 320732982, US | |||||||||||||||||||||
|
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| Phone | +1 904-282-6331 |
| Fax | 9046191080 |
Authorized person
| Name | ANDREW T CHRISTMAN |
| Role | CFO |
| Phone | 9416857688 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016717900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Powell Kenneth A | Manager | 705 Wells Road, Jacksonville, FL, 32244 |
| Christman Andrew | Chief Executive Officer | 705 Wells Road, Jacksonville, FL, 32244 |
| Taboh Gregg | Chief Operating Officer | 705 Wells Road, Jacksonville, FL, 32244 |
| Miller Alan E | Treasurer | 705 Wells Road, Jacksonville, FL, 32244 |
| Greene Michael | Secretary | 705 Wells Road, Jacksonville, FL, 32244 |
| MH CORPORATE SERVICES, INC. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-11 | MH Corporate Services, Inc. | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-31 | 705 Wells Road, Suite 300, Jacksonville, FL 32244 | - |
| CHANGE OF MAILING ADDRESS | 2022-01-31 | 705 Wells Road, Suite 300, Jacksonville, FL 32244 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-18 | 14 East Bay Street, Jacksonville, FL 32202 | - |
| LC STMNT OF RA/RO CHG | 2017-02-15 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-01-31 |
| AMENDED ANNUAL REPORT | 2021-03-18 |
| AMENDED ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-05-01 |
| CORLCRACHG | 2017-02-15 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
