| Entity Name: | FM MEDICAL CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FM MEDICAL CLINIC, LLC 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. |
| 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: | 20 Feb 2018 (7 years ago) |
| Date of dissolution: | 17 Jan 2020 (5 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Jan 2020 (5 years ago) |
| Document Number: | L18000045488 |
| FEI/EIN Number |
82-4509816
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 165 SOUTHPARK BLVD, ST AUGUSTINE, FL, 32086, US |
| Mail Address: | 165 SOUTHPARK BLVD, ST AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891298790 | 2018-03-16 | 2018-03-17 | 165 SOUTHPARK BLVD, ST AUGUSTINE, FL, 320864101, US | 165 SOUTHPARK BLVD, ST AUGUSTINE, FL, 320864101, US | |||||||||||||||||||||
|
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| Phone | +1 904-823-8833 |
| Fax | 9048239394 |
Authorized person
| Name | DR. SCOTT R MICHAELS |
| Role | CLINIC DIRECTOR |
| Phone | 9048238833 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DRIVERS LICENSES |
| Number | M242796603210 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MICHAELS SCOTT MD | Manager | 165 SOUTHPARK BLVD, ST AUGUSTINE, FL, 32086 |
| MICHAELS SCOTT MD | Director | 165 SOUTHPARK BLVD, ST AUGUSTINE, FL, 32086 |
| FECHTER SCOTT DC | Director | 165 SOUTHPARK BLVD, ST AUGUSTINE, FL, 32086 |
| MICHAELS SCOTT MD | Agent | 165 SOUTHPARK BLVD, ST AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2020-01-17 | - | - |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2020-01-17 |
| ANNUAL REPORT | 2019-02-19 |
| Florida Limited Liability | 2018-02-20 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
