| Entity Name: | EMERALD COAST PEDIATRIC PRIMARY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 17 Aug 1992 (33 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | N50394 |
| FEI/EIN Number |
593141073
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5192 BAYOU BLVD., PENSACOLA, FL, 32504, US |
| Mail Address: | 5192 BAYOU BLVD., PENSACOLA, FL, 32504, US |
| ZIP code: | 32504 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912979519 | 2006-02-07 | 2020-08-22 | 5192 BAYOU BLVD, PENSACOLA, FL, 325032102, US | 5192 BAYOU BLVD, PENSACOLA, FL, 325032102, US | |||||||||||||||
|
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| Phone | +1 850-484-5040 |
| Fax | 8504755527 |
Authorized person
| Name | MRS. CATHLEEN M. FARROLL |
| Role | ADMINISTRATOR |
| Phone | 8504845040 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WOLFE COREY | President | 1530 AIRPORT BLVD, PENSACOLA, FL, 32514 |
| WHITTAKER JOAN | Director | 2299 SCENIC HWY -2, PENSACOLA, FL, 32503 |
| FARROLL CATHLEEN | SCT | 5192 BAYOU BLVD., PENSACOLA, FL, 32503 |
| WILSON ROBERT K | Director | 5192 BAYOU BLVD, PENSACOLA, FL, 32504 |
| SIMS STEVE | Director | 232 NORTHCLIFF DR, GULF BREEZE, FL, 32561 |
| DELGADO AUDREY | Director | 1289 E.AVERY, PENSACOLA, FL, 32503 |
| FARROLL CATHLEEN | Agent | 5192 BAYOU BLVD., PENSACOLA, FL, 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| CANCEL ADM DISS/REV | 2004-04-06 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-06 | 5192 BAYOU BLVD., PENSACOLA, FL 32504 | - |
| CHANGE OF MAILING ADDRESS | 2004-04-06 | 5192 BAYOU BLVD., PENSACOLA, FL 32504 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2004-04-06 | 5192 BAYOU BLVD., PENSACOLA, FL 32504 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | - | - |
| REGISTERED AGENT NAME CHANGED | 1994-05-01 | FARROLL, CATHLEEN | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-03-11 |
| ANNUAL REPORT | 2009-03-05 |
| ANNUAL REPORT | 2008-04-07 |
| ANNUAL REPORT | 2007-03-23 |
| ANNUAL REPORT | 2006-02-06 |
| ANNUAL REPORT | 2005-03-18 |
| REINSTATEMENT | 2004-04-06 |
| ANNUAL REPORT | 2001-05-04 |
| ANNUAL REPORT | 2000-04-26 |
| ANNUAL REPORT | 1999-05-05 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
