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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.

CARLSON MEDICAL, PLLC 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

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

Federal Employer Identification (FEI) Number assigned by the IRS.

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

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Date of last update: 01 Jul 2025

Sources: Florida Department of State