Entity Name: | SEAWIND MEDICAL CLINIC, LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
SEAWIND MEDICAL CLINIC, LLC 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
Date Filed: | 07 Jun 2004 (21 years ago) |
Date of dissolution: | 25 Sep 2020 (4 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2020 (4 years ago) |
Document Number: | L04000042679 |
FEI/EIN Number |
201207873
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 3920 Bellac Road, Tallahassee, FL, 32303, US |
Mail Address: | 3920 Bellac Road, Tallahassee, FL, 32303, US |
ZIP code: | 32303 |
County: | Leon |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1982704938 | 2006-09-22 | 2010-06-08 | 4121 W HIGHWAY 98, PANAMA CITY, FL, 324011170, US | 4121 W HIGHWAY 98, PANAMA CITY, FL, 324011170, US | |||||||||||||||||||||||||||||||
|
Phone | +1 850-872-9701 |
Fax | 8502151183 |
Authorized person
Name | DR. JOHN C ENGLAND |
Role | MEDICAL DIRECTOR |
Phone | 8502491000 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | ME0042018 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICARE ID# |
Number | 94243B |
State | FL |
Issuer | BLUE CROSS PROVIDER NUMBE |
Number | 00478 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SEAWIND MEDICAL CLINIC 401K PROFIT SHARING PLAN | 2013 | 201207873 | 2014-06-11 | SEAWIND MEDICAL CLINIC | 19 | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||
SEAWIND MEDICAL CLINIC 401K PROFIT SHARING PLAN | 2012 | 201207873 | 2013-07-02 | SEAWIND MEDICAL CLINIC | 23 | |||||||||||||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2013-07-02 |
Name of individual signing | JOHN C. ENGLAND, MD |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2013-07-02 |
Name of individual signing | JOHN C. ENGLAND, MD |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2001-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 8508729701 |
Plan sponsor’s address | 4121 W. HIGHWAY 98, PANAMA CITY, FL, 32405 |
Plan administrator’s name and address
Administrator’s EIN | 201207873 |
Plan administrator’s name | SEAWIND MEDICAL CLINIC |
Plan administrator’s address | 4121 W. HIGHWAY 98, PANAMA CITY, FL, 32405 |
Administrator’s telephone number | 8508729701 |
Signature of
Role | Plan administrator |
Date | 2012-06-04 |
Name of individual signing | JOHN C. ENGLAND, MD |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2012-06-04 |
Name of individual signing | JOHN C. ENGLAND, MD |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 002 |
Effective date of plan | 2001-01-01 |
Business code | 621210 |
Sponsor’s telephone number | 8508729701 |
Plan sponsor’s address | 4121 WEST HIGHWAY 98, PANAMA CITY, FL, 324011170 |
Plan administrator’s name and address
Administrator’s EIN | 592993524 |
Plan administrator’s name | SEAWIND MEDICAL CLINIC |
Plan administrator’s address | 4121 WEST HIGHWAY 98, PANAMA CITY, FL, 324011170 |
Administrator’s telephone number | 8508729701 |
Signature of
Role | Plan administrator |
Date | 2010-10-14 |
Name of individual signing | JOHN C. ENGLAND |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
ENGLAND JOHN | Managing Member | 3920 Bellac Road, Tallahassee, FL, 32303 |
King Rita L | Manager | 3920 Bellac Road, Tallahassee, FL, 32303 |
England Wade C | mana | 1102 Solana, Tallahassee, FL, 32304 |
ENGLAND JOHN | Agent | 3920 Bellac Road, Tallahassee, FL, 32303 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
CHANGE OF PRINCIPAL ADDRESS | 2018-01-16 | 3920 Bellac Road, Tallahassee, FL 32303 | - |
CHANGE OF MAILING ADDRESS | 2018-01-16 | 3920 Bellac Road, Tallahassee, FL 32303 | - |
REGISTERED AGENT ADDRESS CHANGED | 2018-01-16 | 3920 Bellac Road, Tallahassee, FL 32303 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2019-02-07 |
ANNUAL REPORT | 2018-01-16 |
ANNUAL REPORT | 2017-02-23 |
ANNUAL REPORT | 2016-03-02 |
ANNUAL REPORT | 2015-01-15 |
ANNUAL REPORT | 2014-01-11 |
ANNUAL REPORT | 2013-01-08 |
ANNUAL REPORT | 2012-01-05 |
ANNUAL REPORT | 2011-01-04 |
ANNUAL REPORT | 2010-03-08 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State