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FIRST COAST MEDICAL NETWORK, LLC - Florida Company Profile

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Company Details

Entity Name: FIRST COAST MEDICAL NETWORK, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 May 2018 (7 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Oct 2020 (5 years ago)
Document Number: L18000131637
FEI/EIN Number 83-0732864
Address: 1532 KINGSLEY AVE SUITE 106, ORANGE PARK, FL, 32073, US
Mail Address: 1532 KINGSLEY AVE SUITE 106, ORANGE PARK, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
COLEY-GROBES BRENDA Manager 1532 KINGSLEY AVE SUITE 106, ORANGE PARK, FL, 32073

National Provider Identifier

NPI Number:
1487146890
Certification Date:
2024-09-04

Authorized Person:

Name:
MS. BRENDA CAROL COLEY-GROBES
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No
Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
Yes

Contacts:

Fax:
9045805835

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000114609 FOOTCARE SOURCE EXPIRED 2019-10-23 2024-12-31 - 12751 CAMELLIA BAY DR E, JACKSONVILLE, FL, 32223
G19000097300 FOOT PAIN AND AESTHETICS OF JACKSONVILLE EXPIRED 2019-09-05 2024-12-31 - 4912 BLANDING BLVD., JACKSONVILLE, FL, 32210

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-29 1532 KINGSLEY AVE SUITE 106, ORANGE PARK, FL 32073 -
CHANGE OF MAILING ADDRESS 2024-04-29 1532 KINGSLEY AVE SUITE 106, ORANGE PARK, FL 32073 -
REINSTATEMENT 2020-10-08 - -
REGISTERED AGENT NAME CHANGED 2020-10-08 REGISTERED AGENTS INC. -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2019-03-25 7901 4TH STREET NORTH, SUITE 300, ST.PETERSBURG, FL 33702 -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-05-01
REINSTATEMENT 2020-10-08
ANNUAL REPORT 2019-04-26
Florida Limited Liability 2018-05-25

USAspending Awards / Financial Assistance

Date:
2021-01-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
18051.00
Total Face Value Of Loan:
18051.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$18,051
Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$18,051
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$18,316.57
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $18,049

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Date of last update: 03 Aug 2025

Sources: Florida Department of State