| Entity Name: | JUPITER ISLAND MEDICAL CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 22 Feb 2006 (19 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 01 May 2007 (18 years ago) |
| Document Number: | N06000002123 |
| FEI/EIN Number | 204659155 |
| Address: | 100 ESTRADA SQUARE, HOBE SOUND, FL, 33455 |
| Mail Address: | 100 ESTRADA SQUARE, HOBE SOUND, FL, 33455 |
| ZIP code: | 33455 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235603747 | 2019-01-17 | 2019-01-17 | 100 ESTRADA SQ, HOBE SOUND, FL, 334552400, US | 100 ESTRADA SQ, HOBE SOUND, FL, 334552400, US | |||||||||||||||
|
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| Phone | +1 772-546-3751 |
| Fax | 7725450999 |
Authorized person
| Name | CHERYL JEAN ROBERTS |
| Role | MEDICAL DIRECTOR |
| Phone | 7725463751 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARSONS SUZANNE W | Agent | 11830 SE LAUREL LANE, HOBE SOUND, FL, 33455 |
| Name | Role | Address |
|---|---|---|
| CAIN TYLER R. | Director | 316 SOUTH BEACH ROAD, HOBE SOUND, FL, 33455 |
| McGRAW SCOTT | Director | 127 GOMEZ ROAD, HOBE SOUND, FL, 33455 |
| Botsford Kenneth Dr. | Director | 38 GOMEZ ROAD, HOBE SOUND, FL, 33455 |
| Name | Role | Address |
|---|---|---|
| MOORE CHARLES V. | Treasurer | 122 GOMEZ RD, HOBE SOUND, FL, 33455 |
| Name | Role | Address |
|---|---|---|
| Parsons Suzanne W | President | 11830 SE LAUREL LANE, HOBE SOUND, FL, 33455 |
| Name | Role | Address |
|---|---|---|
| Long Elizabeth V | Secretary | 11752 SE LAUREL LANE, HOBE SOUND, FL, 33455 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-28 | PARSONS, SUZANNE W | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 11830 SE LAUREL LANE, HOBE SOUND, FL 33455 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-09 | 100 ESTRADA SQUARE, HOBE SOUND, FL 33455 | No data |
| AMENDMENT | 2007-05-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-02-22 | 100 ESTRADA SQUARE, HOBE SOUND, FL 33455 | No data |
| NAME CHANGE AMENDMENT | 2006-03-15 | JUPITER ISLAND MEDICAL CLINIC, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-01-23 |
| AMENDED ANNUAL REPORT | 2016-05-16 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
