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FIRST COAST COMMUNITY WELLNESS SERVICES, LLC - Florida Company Profile

Company Details

Entity Name: FIRST COAST COMMUNITY WELLNESS SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

FIRST COAST COMMUNITY WELLNESS SERVICES, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 23 Jul 2018 (7 years ago)
Document Number: L18000175995
FEI/EIN Number 83-1378626

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

Address: 3636 University Blvd S., A-7, JACKSONVILLE, FL, 32216, US
Mail Address: 11712 PLEASANT CREEK DRIVE, JACKSONVILLE, FL, 32218, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JOHNSON MONICA Manager 5610 Fort Caroline rd, JACKSONVILLE, FL, 32277
JOHNSON ERVIN Authorized Member 5610 Fort Caroline rd, JACKSONVILLE, FL, 32277
FIELDS MARY Agent 5610 Fort Caroline rd, JACKSONVILLE, FL, 32277

U.S. Small Business Administration Profile

The U.S. Small Business Administration (SBA) helps Americans start, grow, and build resilient businesses.

Note: SBA was created in 1953 as an independent agency of the federal government to aid, counsel, assist and protect the interests of small business concerns; preserve free competitive enterprise; and maintain and strengthen the overall economy of our nation. SBA reviews Congressional and testifies on behalf of small businesses. It assesses the impact of regulatory burden on small businesses.

Phone Number:
Contact Person:
MONICA JOHNSON
Ownership and Self-Certifications:
Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Women-Owned Small Business, Woman Owned
User ID:
P3274784

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
VTHGUV8M25X7
CAGE Code:
9WJP3
UEI Expiration Date:
2026-05-16

Business Information

Division Name:
FIRST COAST COMMUNITY WELLNESS SERVICES
Activation Date:
2025-05-18
Initial Registration Date:
2024-04-06

National Provider Identifier

NPI Number:
1336879097
Certification Date:
2023-05-23

Authorized Person:

Name:
MONICA JOHNSON
Role:
MGR
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-16 3636 University Blvd S., A-7, JACKSONVILLE, FL 32216 -
REGISTERED AGENT NAME CHANGED 2023-04-30 FIELDS, MARY -
REGISTERED AGENT ADDRESS CHANGED 2023-04-30 5610 Fort Caroline rd, suite2, JACKSONVILLE, FL 32277 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-09-23
ANNUAL REPORT 2020-07-10
ANNUAL REPORT 2019-04-30
Florida Limited Liability 2018-07-23

Date of last update: 02 Jun 2025

Sources: Florida Department of State