| Entity Name: | ISLAND DOCTORS OF NEW SMYRNA BEACH MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Oct 2013 (11 years ago) |
| Document Number: | L13000149228 |
| FEI/EIN Number | 80-0955638 |
| Address: | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 32080, US |
| Mail Address: | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 32080, US |
| ZIP code: | 32080 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740618875 | 2013-10-29 | 2013-10-29 | 4960 SW 72ND AVE, MIAMI, FL, 331555544, US | 406 PALMETTO ST, SUITE A, NEW SMYRNA, FL, 321687323, US | |||||||||||||||||||
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| Phone | +1 305-662-5200 |
| Fax | 3052847913 |
| Phone | +1 386-423-1212 |
| Fax | 3864235730 |
Authorized person
| Name | JOSE J. ARMAS |
| Role | PRESIDENT |
| Phone | 3056625200 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Hinman Roy HII | Agent | 100 Arricola Ave, St. Augustine, FL, 32080 |
| Name | Role | Address |
|---|---|---|
| Hinman Roy H. M.D., P | Auth | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 32080 |
| Name | Role | Address |
|---|---|---|
| HINMAN ROY HII | Manager | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 32080 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000088035 | CONVIVA CARE CENTER | EXPIRED | 2018-08-08 | 2023-12-31 | No data | 500 WEST MAIN STREET, C/O CORPORATE SECRETARY, LOUISVILLE, KY, 40202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-01-21 | Hinman, Roy H., II | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-13 | 100 ARRICOLA AVE, ST AUGUSTINE, FL 32080 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-13 | 100 ARRICOLA AVE, ST AUGUSTINE, FL 32080 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-11-13 | 100 Arricola Ave, St. Augustine, FL 32080 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-13 |
| AMENDED ANNUAL REPORT | 2020-11-13 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-05-08 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-03-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
