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MEDICAL STAFF OF PUTNAM COMMUNITY MEDICAL CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: MEDICAL STAFF OF PUTNAM COMMUNITY MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 04 Apr 2017 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 22 Aug 2023 (2 years ago)
Document Number: N17000003624
FEI/EIN Number 82-1078642
Address: 611 ZEAGLER DR., PALATKA, FL, 32177, US
Mail Address: Medical Staff of PCMC Inc.,Medical Staff O, HCA Florida Putnam Hospital, Palatka, FL, 32177, US
ZIP code: 32177
City: Palatka
County: Putnam
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Salzman Christopher MD Director Medical Staff of PCMC Inc.,Medical Staff O, Palatka, FL, 32177
Kuruvilla Anand MM.D. President Medical Staff of PCMC Inc.,Medical Staff O, Palatka, FL, 32177
FEIBELMAN RICHARD MD Vice President 611 ZEAGLER DR., PALATKA, FL, 32177
Kuruvilla Anand MChief o Agent Medical Staff of PCMC, Inc, PALATKA, FL, 32177
Miles Dawn SDPM Treasurer Medical Staff of PCMC Inc.,Medical Staff O, Palatka, FL, 32177

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-13 Kuruvilla, Anand Mathai, Chief of Staff -
REINSTATEMENT 2023-08-22 - -
CHANGE OF MAILING ADDRESS 2023-08-22 611 ZEAGLER DR., PALATKA, FL 32177 -
REGISTERED AGENT ADDRESS CHANGED 2023-08-22 Medical Staff of PCMC, Inc, HCA Fl Putnam Hospital, 611 ZEAGLER DR., Medical Staff Office, PALATKA, FL 32177 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
AMENDED AND RESTATEDARTICLES 2019-10-31 - -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2024-01-04
REINSTATEMENT 2023-08-22
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-20
Amended and Restated Articles 2019-10-31
ANNUAL REPORT 2019-04-27
ANNUAL REPORT 2018-03-30
Domestic Non-Profit 2017-04-04

Tax Exempt

Employer Identification Number (EIN) :
82-1078642
In Care Of Name:
% CARE OF DARREL WYATT MD
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Scientific Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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:
2017-09
National Taxonomy Of Exempt Entities:
Health Care: Professional Societies, Associations
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 02 Jul 2025

Sources: Florida Department of State