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FAMILY PRACTICE-ST. CLOUD, INC. - Florida Company Profile

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Company Details

Entity Name: FAMILY PRACTICE-ST. CLOUD, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FAMILY PRACTICE-ST. CLOUD, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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 Oct 1989 (36 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 24 Nov 2021 (4 years ago)
Document Number: L25100
FEI/EIN Number 592974863

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

Address: 601 S. HARBOUR ISLAND BLVD., TAMPA, FL, 33602, US
Mail Address: 601 S. HARBOUR ISLAND BLVD., TAMPA, FL, 33602, US
ZIP code: 33602
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
Haber Michael Secretary 601 S. HARBOUR ISLAND BLVD., TAMPA, FL, 33602
Polen Michael Vice President 601 S. HARBOUR ISLAND BLVD., TAMPA, FL, 33602
Pagidipati Rudrama President 601 S. HARBOUR ISLAND BLVD., TAMPA, FL, 33602
JANKOVIC GORAN Treasurer 601 S. HARBOUR ISLAND BLVD., TAMPA, FL, 33602

National Provider Identifier

NPI Number:
1336189190
Certification Date:
2023-02-06

Authorized Person:

Name:
DR. JOHN FREDERICK WILKER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4078923285

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000156649 PROHEALTH FAMILY PHYSICIANS ACTIVE 2021-11-24 2026-12-31 - 601 S HARBOUR ISLAND BLVD, SUITE 213-A, TAMPA, FL, 33602
G15000071073 PROHEALTH KISSIMMEE EXPIRED 2015-07-08 2020-12-31 - 3100 17TH STREET, SAINT CLOUD, FL, 34769
G13000020815 PROHEALTH HARMONY EXPIRED 2013-02-28 2018-12-31 - 7264 HARMONY SQUARE DR. SOUTH, HARMONY, FL, 34773

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-07-26 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -
REGISTERED AGENT NAME CHANGED 2023-07-26 C T CORPORATION SYSTEM -
CHANGE OF PRINCIPAL ADDRESS 2023-04-25 601 S. HARBOUR ISLAND BLVD., SUITE 200, TAMPA, FL 33602 -
CHANGE OF MAILING ADDRESS 2023-04-25 601 S. HARBOUR ISLAND BLVD., SUITE 200, TAMPA, FL 33602 -
AMENDMENT AND NAME CHANGE 2021-11-24 FAMILY PRACTICE-ST. CLOUD, INC. -
AMENDMENT 2016-11-14 - -
AMENDMENT 2004-02-11 - -
REINSTATEMENT 1998-04-09 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1997-09-26 - -

Documents

Name Date
ANNUAL REPORT 2024-02-09
Reg. Agent Change 2023-07-26
ANNUAL REPORT 2023-04-25
AMENDED ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2022-02-23
Amendment and Name Change 2021-11-24
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-03-29
ANNUAL REPORT 2018-02-02

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Date of last update: 01 Jul 2025

Sources: Florida Department of State