| Entity Name: | THE MCCOY INSTITUTE OF HEARING AND BALANCE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Nov 2013 (11 years ago) |
| Document Number: | L13000156640 |
| FEI/EIN Number | 46-4064031 |
| Address: | 5114 San Juan Ave, Jacksonville, FL 32210 |
| Mail Address: | 5114 San Juan Ave, Jacksonville, FL 32210 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1003239872 | 2014-01-29 | 2023-05-26 | 1922 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322168933, US | 1922 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322168933, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-318-3763 |
| Fax | 9042120665 |
Authorized person
| Name | DR. NATALLA S MCCOY |
| Role | CLINICAL DIRECTOR |
| Phone | 9048648594 |
Taxonomy
| Taxonomy Code | 171000000X - Military Health Care Provider |
| Is Primary | No |
| Taxonomy Code | 231H00000X - Audiologist |
| License Number | AY1758 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0700X - Hearing and Speech Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QV0200X - VA Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 291900000X - Military Clinical Medical Laboratory |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | No |
| Taxonomy Code | 292200000X - Dental Laboratory |
| Is Primary | No |
| Taxonomy Code | 332S00000X - Hearing Aid Equipment |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MCCOY, NATALLA S | Agent | 5114 San Juan Ave, Jacksonville, FL 32210 |
| Name | Role | Address |
|---|---|---|
| McCoy, Natalla | Manager | 5114 San Juan Ave, Jacksonville, FL 32210 |
| Name | Role | Address |
|---|---|---|
| Odom, John H, III | Member | 5114 San Juan Ave, Jacksonville, FL 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-21 | 5114 San Juan Ave, Jacksonville, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-21 | 5114 San Juan Ave, Jacksonville, FL 32210 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-21 | 5114 San Juan Ave, Jacksonville, FL 32210 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-03-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2658328303 | 2021-01-21 | 0491 | PPS | 5114 San Juan Ave, Jacksonville, FL, 32210-3138 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
