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  5. NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC

NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC - Florida Company Profile

Company Details

Entity Name: NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

NORTH FLORIDA REPRODUCTIVE MEDICINE, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 21 Aug 2012 (13 years ago)
Document Number: L12000108039
FEI/EIN Number 46-1095493

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 14540 Old St. Augustine Road, JACKSONVILLE, FL, 32258, US
Mail Address: 14540 Old St. Augustine Road, JACKSONVILLE, FL, 32258, US
ZIP code: 32258
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205397940 2019-03-26 2019-03-26 14540 OLD ST. AUGUSTINE ROAD, SUITE 2503, JACKSONVILLE, FL, 32258, US 836 PRUDENTIAL DRIVE, SUITE 902, JACKSONVILLE, FL, 32207, US

Contacts
Phone +1 904-281-9887
Fax 9042819985

Authorized person
Name KEVIN WINSLOW
Role PRESIDENT
Phone 9043995620

Taxonomy
Taxonomy Code 207VE0102X - Reproductive Endocrinology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
F.I.R.M. 401(K) PROFIT SHARING PLAN 2023 461095493 2024-05-10 NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9042625992
Plan sponsor’s address 14540 OLD ST. AUGUSTINE ROAD, SUITE 2503, JACKSONVILLE, FL, 32258

Signature of
Role Plan administrator
Date 2024-05-10
Name of individual signing COREY MARTIN
Valid signature Filed with authorized/valid electronic signature
F.I.R.M. 401(K) PROFIT SHARING PLAN 2022 461095493 2023-05-02 NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9042625992
Plan sponsor’s address 14540 OLD ST. AUGUSTINE RD, STE 2503, JACKSONVILLE, FL, 32258

Signature of
Role Plan administrator
Date 2023-05-02
Name of individual signing TAMI DELANEY
Valid signature Filed with authorized/valid electronic signature
F.I.R.M. 401(K) PROFIT SHARING PLAN 2021 461095493 2022-07-13 NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9042625992
Plan sponsor’s address 14540 OLD ST. AUGUSTINE RD, SUITE 2503, JACKSONVILLE, FL, 32258

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing TAMI DELANEY
Valid signature Filed with authorized/valid electronic signature
F.I.R.M. 401(K) PROFIT SHARING PLAN 2020 461095493 2021-09-08 NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9042625992
Plan sponsor’s address 14540 OLD ST. AUGUSTINE ROAD, SUITE 2503, JACKSONVILLE, FL, 32258

Signature of
Role Plan administrator
Date 2021-09-08
Name of individual signing KEVIN L. WINSLOW, M.D.
Valid signature Filed with authorized/valid electronic signature
F.I.R.M. 401(K) PROFIT SHARING PLAN 2019 461095493 2020-04-28 NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9042625992
Plan sponsor’s address 14540 OLD ST. AUGUSTINE ROAD, SUITE 2503, JACKSONVILLE, FL, 32258

Key Officers & Management

Name Role Address
Smith Hulsey & Busey, Professional Associa Agent One Independent Drive, JACKSONVILLE, FL, 32202
REPRODUCTIVE MEDICINE ASSOCIATES, P.A. Manager -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000043484 CENTER FOR POLYCYSTIC OVARIAN SYNDROME ACTIVE 2019-04-05 2029-12-31 - 14540 OLD ST. AUGUSTINE RD., STE. 2503, JACKSONVILLE, FL, 32258
G13000004886 CENTER FOR POLYCYSTIC OVARIAN SYNDROME EXPIRED 2013-01-14 2018-12-31 - P. O. BOX 16568, JACKSONVILLE, FL, 32245
G12000125470 F.I.R.M. ACTIVE 2012-12-27 2027-12-31 - 14540 OLD ST. AUGUSTINE ROAD, STE 2503, JACKSONVILLE, FL, 32258
G12000117103 FLORIDA INSTITUTE FOR REPRODUCTIVE MEDICINE ACTIVE 2012-12-06 2027-12-31 - 14540 OLD ST. AUGUSTINE ROAD, STE 2503, JACKSONVILLE, FL, 32258

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-01 14540 Old St. Augustine Road, Suite 2503, JACKSONVILLE, FL 32258 -
CHANGE OF MAILING ADDRESS 2019-04-01 14540 Old St. Augustine Road, Suite 2503, JACKSONVILLE, FL 32258 -
REGISTERED AGENT NAME CHANGED 2019-04-01 Smith Hulsey & Busey, Professional Association -
REGISTERED AGENT ADDRESS CHANGED 2019-04-01 One Independent Drive, Suite 3300, JACKSONVILLE, FL 32202 -

Documents

Name Date
ANNUAL REPORT 2025-02-11
ANNUAL REPORT 2024-03-22
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-07
ANNUAL REPORT 2021-03-25
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-03-10
ANNUAL REPORT 2016-03-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5019797000 2020-04-04 0491 PPP 14540 OLD SAINT AUGUSTINE RD STE 2503, JACKSONVILLE, FL, 32258-7418
Loan Status Date 2021-07-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 692355
Loan Approval Amount (current) 692355
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32258-7418
Project Congressional District FL-05
Number of Employees 54
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 760
Originating Lender Name First Source Federal Credit Union
Originating Lender Address Rome, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 700874.81
Forgiveness Paid Date 2021-06-24

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Companies related by address

No other companies in our directory share the same address as NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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