Search icon

FLORIDA MEDICAL PRACTICE PLAN, INC. - Florida Company Profile

Company Details

Entity Name: FLORIDA MEDICAL PRACTICE PLAN, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
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: 20 Apr 2006 (19 years ago)
Last Event: AMENDMENT
Event Date Filed: 28 Apr 2011 (14 years ago)
Document Number: N06000004354
FEI/EIN Number 571234883

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

Address: FLORIDA STATE UNIV COLLEGE OF MEDICINE, 1115 WEST CALL STREET, TALLAHASSEE, FL, 32306-4300
Mail Address: FLORIDA STATE UNIV COLLEGE OF MEDICINE, 1115 WEST CALL STREET, TALLAHASSEE, FL, 32306-4300
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528631454 2021-07-19 2021-07-19 2911 ROBERTS AVE, TALLAHASSEE, FL, 323105007, US 4449 MEANDERING WAY, TALLAHASSEE, FL, 323085740, US

Contacts

Phone +1 850-644-1543

Authorized person

Name JULIE HUBBARD
Role BILLING MANAGER
Phone 8506441543

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 276305202
State FL

Key Officers & Management

Name Role Address
CLARK KYLE Dr. Director FLORIDA STATE UNIV COLLEGE OF MEDICINE, TALLAHASSEE, FL, 323064300
Littles Alma BDr. President 1115 WEST CALL STREET, TALLAHASSEE, FL, 323064300
LITTLES ALMA BDr. Secretary 1115 WEST CALL STREET, TALLAHASSEE, FL, 323064300
KATZ PAUL M Director 1115 WEST CALL STREET, TALLAHASSEE, FL, 323064300
FLYNN HEATHER PhD Director FLORIDA STATE UNIV COLLEGE OF MEDICINE, TALLAHASSEE, FL, 323064300
NOWAKOWSKI RICHARD BPhd Treasurer FLORIDA STATE UNIV COLLEGE OF MEDICINE, TALLAHASSEE, FL, 323064300
Littles Alma BDr. Agent FLORIDA STATE UNIV COLLEGE OF MEDICINE, TALLAHASSEE, FL, 323064300

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000002372 FSU HEALTH LIPIDOLOGY ACTIVE 2025-01-06 2030-12-31 - 1115 W. CALL STREET, TALLAHASSEE, FL, 32306
G23000152580 FSU BEHAVIORALHEALTH ACTIVE 2023-12-15 2028-12-31 - 1115 W. CALL STREET, TALLAHASSEE, FL, 32306
G22000070490 FSU NEUROMODULATION ACTIVE 2022-06-09 2027-12-31 - 1115 WEST CALL STREET, TALLAHASSEE, FL, 32306
G18000047461 FSU SENIORHEALTH ACTIVE 2018-04-13 2028-12-31 - 1115 WEST CALL ST, TALLAHASSEE, FL, 32306
G18000047464 FSU TELEHEALTH ACTIVE 2018-04-13 2028-12-31 - 1115 WEST CALL ST, TALLAHASSEE, FL, 32306
G18000047469 FSU PRIMARYHEALTH ACTIVE 2018-04-13 2028-12-31 - 1115 WEST CALL ST, TALLAHASSEE, FL, 32306

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-03-09 Littles, Alma B, Dr. -
REGISTERED AGENT ADDRESS CHANGED 2017-03-23 FLORIDA STATE UNIV COLLEGE OF MEDICINE, 1115 WEST CALL STREET, TALLAHASSEE, FL 32306-4300 -
CHANGE OF PRINCIPAL ADDRESS 2012-04-18 FLORIDA STATE UNIV COLLEGE OF MEDICINE, 1115 WEST CALL STREET, TALLAHASSEE, FL 32306-4300 -
CHANGE OF MAILING ADDRESS 2012-04-18 FLORIDA STATE UNIV COLLEGE OF MEDICINE, 1115 WEST CALL STREET, TALLAHASSEE, FL 32306-4300 -
AMENDMENT 2011-04-28 - -
AMENDMENT 2007-07-03 - -

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-04-14
ANNUAL REPORT 2021-03-30
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-03-29
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-03-23
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-03-20

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
57-1234883 Corporation Unconditional Exemption 1115 W CALL ST, TALLAHASSEE, FL, 32304-3556 2008-08
In Care of Name % FSU COLLEGE OF MEDICINE
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above 509(a)(3)
Tax Period 2023-06
Asset 1,000,000 to 4,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 4906814
Income Amount 11703538
Form 990 Revenue Amount 10922404
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name FLORIDA MEDICAL PRACTICE PLAN INC
EIN 57-1234883
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA MEDICAL PRACTICE PLAN INC
EIN 57-1234883
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA MEDICAL PRACTICE PLAN INC
EIN 57-1234883
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA MEDICAL PRACTICE PLAN INC
EIN 57-1234883
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA MEDICAL PRACTICE PLAN INC
EIN 57-1234883
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA MEDICAL PRACTICE PLAN INC
EIN 57-1234883
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA MEDICAL PRACTICE PLAN INC
EIN 57-1234883
Tax Period 201606
Filing Type E
Return Type 990
File View File

Date of last update: 02 Apr 2025

Sources: Florida Department of State