| 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. |
| 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 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336879097 | 2022-06-15 | 2023-05-23 | 11712 PLEASANT CREEK DR, JACKSONVILLE, FL, 322187566, US | 5610 FORT CAROLINE RD, JACKSONVILLE, FL, 322771799, US | |||||||||||||||||||
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| Phone | +1 904-497-2192 |
| Phone | +1 904-374-4637 |
Authorized person
| Name | MONICA JOHNSON |
| Role | MGR |
| Phone | 9044972192 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| 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 |
| 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 | - |
| 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 |
| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P3274784 | FIRST COAST COMMUNITY WELLNESS SERVICES, LLC | - | VTHGUV8M25X7 | 3636 UNIVERSITY BLVD S, A-7, JACKSONVILLE, FL, 32216-4250 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621330 |
| NAICS Code's Description | Offices of Mental Health Practitioners (except Physicians) |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
