| Entity Name: | BARNHILL CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 May 1990 (35 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 21 May 2001 (24 years ago) |
| Document Number: | L73909 |
| FEI/EIN Number | 59-3019790 |
| Address: | 5270 NW 34 BLVD., GAINESVILLE, FL 32605 |
| Mail Address: | 5270 NW 34 BLVD., GAINESVILLE, FL 32605 |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235426446 | 2011-07-08 | 2011-07-08 | 5270 NW 34TH ST, GAINESVILLE, FL, 326051154, US | 5270 NW 34TH STREET, GAINESVILLE, FL, 32605, US | |||||||||||||||||||||||||||||||
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| Phone | +1 352-377-2255 |
| Fax | 3523775233 |
Authorized person
| Name | DR. ROBERT DEAN BARNHILL |
| Role | PRESIDENT / OWNER |
| Phone | 3523772255 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0005699 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Number | 22151 |
| State | FL |
| Issuer | MEDICAID |
| Number | 050066600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Sutton, Kevin Michael, Dr. | Agent | 5270 NW 34TH BLVD., GAINESVILLE, FL 32605 |
| Name | Role | Address |
|---|---|---|
| Sutton, Kevin Michael, Dr. | Officer | 5270 NW 34th Blvd., GAINESVILLE, FL 32605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-12-14 | Sutton, Kevin Michael, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-10 | 5270 NW 34 BLVD., GAINESVILLE, FL 32605 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-10 | 5270 NW 34 BLVD., GAINESVILLE, FL 32605 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-10 | 5270 NW 34TH BLVD., GAINESVILLE, FL 32605 | No data |
| NAME CHANGE AMENDMENT | 2001-05-21 | BARNHILL CLINIC, P.A. | No data |
| RESTATED ARTICLES AND NAME CHANGE | 1990-11-06 | BARNHILL CLINIC OF CHIROPRACTIC, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-14 |
| AMENDED ANNUAL REPORT | 2021-12-14 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
