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DISTRICT CLINIC HOLDINGS, INC. - Florida Company Profile

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Company Details

Entity Name: DISTRICT CLINIC HOLDINGS, 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: 24 Jul 2012 (13 years ago)
Document Number: N12000007182
FEI/EIN Number 45-5591655

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

Address: 1515 N. Flagler Dr., West Palm Beach, FL, 33401, US
Mail Address: 1515 N. Flagler Dr., West Palm Beach, FL, 33401, US
ZIP code: 33401
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
St. Juste Alcoyla Member 1515 N. Flagler Dr., West Palm Beach, FL, 33401
Icaza Bernabe Agent 1515 N. Flagler Dr., West Palm Beach, FL, 33401
Gibbons Joseph Chairman 1515 N. Flagler Dr., West Palm Beach, FL, 33401
Tascone Melissa Member 1515 N. Flagler Dr., West Palm Beach, FL, 33401
Bullard Julia Secretary 1515 N. Flagler Dr., West Palm Beach, FL, 33401
Smith Robert M Treasurer 1515 N. Flagler Dr., West Palm Beach, FL, 33401
Borroto Alberto Member 1515 N. Flagler Dr., West Palm Beach, FL, 33401

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
VKRYFN6AKHJ1
CAGE Code:
8JZF8
UEI Expiration Date:
2025-12-24

Business Information

Division Name:
DISTRICT CLINIC HOLDINGS, INC
Division Number:
DISTRICT C
Activation Date:
2024-12-26
Initial Registration Date:
2020-04-08

National Provider Identifier

NPI Number:
1497562300
Certification Date:
2025-01-29

Authorized Person:

Name:
DARCY DAVIS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Fax:
5618045629
Fax:
5614394384

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000072769 HEALTH CARE DISTRICT COMMUNITY HEALTH CENTER ACTIVE 2024-06-12 2029-12-31 - 1515 N FLAGLER DR STE 101, WEST PALM BEACH, FL, 33401
G21000117283 C.L. BRUMBACK PRIMARY CARE CLINIC ST. ANN ACTIVE 2021-09-13 2026-12-31 - 1515 N. FLAGLER DR., STE. 101, WEST PALM BEACH, FL, 33401
G20000114515 C.L. BRUMBACK PRIMARY CARE CLINIC HERO MOBILE ACTIVE 2020-09-03 2025-12-31 - 1515 N. FLAGLER DR, STE 101, WEST PALM BEACH, FL, 33401
G20000071778 CL BRUMBACK PRIMARY CARE CLINIC SCOUT MOBILE ACTIVE 2020-06-25 2025-12-31 - 1515 N FLAGLER DR, STE 101, WEST PALM BEACH, FL, 33401
G18000127957 CL BRUMBACK PRIMARY CARE CLINIC MANGONIA PARK ACTIVE 2018-12-04 2028-12-31 - 1515 N. FLAGLER DR., SUITE 101, WEST PALM BEACH, FL, 33401
G18000079034 CL BRUMBACK PRIMARY CARE CLINIC JUPITER ACTIVE 2018-08-23 2028-12-31 - 1515 N. FLAGLER DR., SUITE 101, WEST PALM BEACH, FL, 33401
G18000079035 CL BRUMBACK PRIMARY CARE CLINIC BOCA RATON ACTIVE 2018-08-23 2028-12-31 - 1515 N. FLAGLER DR., SUITE 101, WEST PALM BEACH, FL, 33401
G18000090621 CL BRUMBACK PRIMARY CARE CLINIC, MOBILE ACTIVE 2018-08-15 2028-12-31 - 1515 N. FLAGLER DR., SUITE 101, WEST PALM BEACH, FL, 33401
G17000006329 CL BRUMBACK PRIMARY CARE CLINIC BOCA RATON EXPIRED 2017-01-18 2022-12-31 - 23123 SOUTH STATE ROAD 7, SUITE 108-111, BOCA RATON, FL, 33428
G16000132578 CL BRUMBACK PRIMARY CARE CLINIC JUPITER EXPIRED 2016-12-09 2021-12-31 - 411 WEST INDIANTOWN RD., JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-04-12 Icaza, Bernabe -
CHANGE OF PRINCIPAL ADDRESS 2018-02-01 1515 N. Flagler Dr., Suite 101, West Palm Beach, FL 33401 -
CHANGE OF MAILING ADDRESS 2018-02-01 1515 N. Flagler Dr., Suite 101, West Palm Beach, FL 33401 -
REGISTERED AGENT ADDRESS CHANGED 2018-02-01 1515 N. Flagler Dr., Suite 101, West Palm Beach, FL 33401 -

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-02-10
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-03-13
ANNUAL REPORT 2018-02-01
ANNUAL REPORT 2017-01-09
Reg. Agent Change 2016-05-23

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Date of last update: 01 Jun 2025

Sources: Florida Department of State