Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Duval
    4. ›
  4. 32258
    5. ›
  5. NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC

NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC

Company Details

Entity Name: NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Aug 2012 (12 years ago)
Document Number: L12000108039
FEI/EIN Number 46-1095493
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

Agent

Name Role Address
Smith Hulsey & Busey, Professional Associa Agent One Independent Drive, JACKSONVILLE, FL, 32202

Manager

Name Role
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 No data 14540 OLD ST. AUGUSTINE RD., STE. 2503, JACKSONVILLE, FL, 32258
G13000004886 CENTER FOR POLYCYSTIC OVARIAN SYNDROME EXPIRED 2013-01-14 2018-12-31 No data P. O. BOX 16568, JACKSONVILLE, FL, 32245
G12000125470 F.I.R.M. ACTIVE 2012-12-27 2027-12-31 No data 14540 OLD ST. AUGUSTINE ROAD, STE 2503, JACKSONVILLE, FL, 32258
G12000117103 FLORIDA INSTITUTE FOR REPRODUCTIVE MEDICINE ACTIVE 2012-12-06 2027-12-31 No data 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 No data
CHANGE OF MAILING ADDRESS 2019-04-01 14540 Old St. Augustine Road, Suite 2503, JACKSONVILLE, FL 32258 No data
REGISTERED AGENT NAME CHANGED 2019-04-01 Smith Hulsey & Busey, Professional Association No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-01 One Independent Drive, Suite 3300, JACKSONVILLE, FL 32202 No data

Documents

Name Date
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
ANNUAL REPORT 2015-04-22

Related by officers

Smith Hulsey & Busey, Professional Associa

THE WOODCOCK FOUNDATION FOR THE APPRECIATION OF THE ARTS, INC. THE DEVCON GROUP, LLC CHRISTINA GINDELE, M.D., P.A. 913 PONTE VEDRA BOULEVARD LLC SODINI INVESTMENTS, LLC PARAGON OS, INC. FOOLPROOF SC, INC. DMI OF JAX, INC. SUNSHINE AND FIREFLY, INC. CLAIM CENTRAL, INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated