| Entity Name: | ISLAND DOCTORS INTRASTATE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 May 2019 (6 years ago) |
| Document Number: | L19000118287 |
| FEI/EIN Number | 83-4710101 |
| Address: | 100 ARRICOLA AVE, ST AUGUSTINE, FL 32080 |
| Mail Address: | 100 ARRICOLA AVE, ST AUGUSTINE, FL 32080 |
| ZIP code: | 32080 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568083889 | 2020-04-27 | 2020-04-27 | 100 ARRICOLA AVE, SAINT AUGUSTINE, FL, 320804515, US | 100 ARRICOLA AVE, SAINT AUGUSTINE, FL, 320804515, US | |||||||||||||||
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| Phone | +1 904-825-4368 |
| Fax | 9048259107 |
Authorized person
| Name | DR. ROY H HINMAN JR. |
| Role | CEO AND PRESIDENT |
| Phone | 9048254368 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HINMAN, ROY H, II | Agent | 100 ARRICOLA AVE, ST AUGUSTINE, FL 32080 |
| Name | Role | Address |
|---|---|---|
| ROY H HINMAN MD PA | Manager | 100 ARRICOLA AVE, ST AUGUSTINE, FL 32080 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000076383 | MEDICAL HEALTH CENTERS | ACTIVE | 2023-06-26 | 2028-12-31 | No data | 100 ARRICOLA AVE, ST AUGUSTINER, FL, 32080 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-03-17 |
| Florida Limited Liability | 2019-05-01 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
