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CARLSON MEDICAL, PLLC - Florida Company Profile

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Company Details

Entity Name: CARLSON MEDICAL, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 10 Dec 2015 (10 years ago)
Date of dissolution: 25 Sep 2020 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (5 years ago)
Document Number: L15000206113
FEI/EIN Number 81-0846652
Address: 395 3rd St, Atlantic Beach, FL, 32233, US
Mail Address: 395 3rd St, Atlantic Beach, FL, 32233, US
ZIP code: 32233
City: Atlantic Beach
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CARLSON INGRID A President 395 THIRD STREET, ATLANTIC BEACH, FL, 32233
- Agent -

National Provider Identifier

NPI Number:
1518412238

Authorized Person:

Name:
DR. INGRID A CARLSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9048347821

Form 5500 Series

Employer Identification Number (EIN):
810846652
Plan Year:
2016
Number Of Participants:
1
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000005219 WISE WOMEN EXPIRED 2016-01-13 2021-12-31 - 395 THIRD STREET, ATLANTIC BEACH, FL, 32233

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-02-03 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2019-08-27 395 3rd St, Atlantic Beach, FL 32233 -
CHANGE OF MAILING ADDRESS 2019-08-27 395 3rd St, Atlantic Beach, FL 32233 -

Documents

Name Date
ANNUAL REPORT 2019-05-22
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-02-10
ANNUAL REPORT 2016-04-26
Florida Limited Liability 2015-12-10

USAspending Awards / Financial Assistance

Date:
2016-04-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
5000.00
Total Face Value Of Loan:
152000.00
Date:
2016-04-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
5000.00
Total Face Value Of Loan:
152000.00

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Date of last update: 01 Aug 2025

Sources: Florida Department of State