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FLORIDA MEDICAL PRACTICE PLAN, INC. - Florida Company Profile

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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

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
Littles Alma BDr. Agent FLORIDA STATE UNIV COLLEGE OF MEDICINE, 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

National Provider Identifier

NPI Number:
1528631454
Certification Date:
2021-07-19

Authorized Person:

Name:
JULIE HUBBARD
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

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

Employer Identification Number (EIN) :
57-1234883
In Care Of Name:
% FSU COLLEGE OF MEDICINE
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)
Ruling Date:
2008-08
Deductibility:
Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 02 Jun 2025

Sources: Florida Department of State