| Entity Name: | ISLAND COAST PRIMARY CARE PROJECT 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: | 09 May 1994 (31 years ago) |
| Date of dissolution: | 21 Jun 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 21 Jun 2016 (9 years ago) |
| Document Number: | N94000002301 |
| FEI/EIN Number |
650489064
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4150 FORD STREET EXTENSION, #1B, FORT MYERS, FL, 33916, US |
| Mail Address: | 4150 FORD STREET EXTENSION, #1B, FORT MYERS, FL, 33916, US |
| ZIP code: | 33916 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003198565 | 2011-09-12 | 2011-09-12 | 4150 FORD STREET EXT STE 1B, FORT MYERS, FL, 339169498, US | 4150 FORD STREET EXT STE 1B, FORT MYERS, FL, 339169498, US | |||||||||||||||||||||
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| Phone | +1 239-461-8375 |
| Fax | 2394617639 |
| Phone | +1 239-467-8375 |
Authorized person
| Name | CATHY JONES |
| Role | PROGRAM ADMINISTRATOR |
| Phone | 2394618375 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 3140N1450X - Pediatric Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| QUINONEZ JORGE Dr. | Secretary | P.O. BOX 1357, FORT MYERS, FL, 33902 |
| GUTTERY EDWIN GDr. | Treasurer | 9350 CAMELOT DR, FORT MYERS, FL, 33919 |
| JONES ERIC Dr. | Chairman | 1450 BARCELONA AVE, FORT MYERS, FL, 33901 |
| TRAVIS NANCY Dr. | Member | 636 DEL PRADO BLVD, CAPE CORAL, FL, 33990 |
| Ritrosky John | Boar | 9350 Camelot Drive, Ft. Myers,, FL, 33919 |
| Whitley Steven | Boar | P.O. Box 1020, Ft. Myers, FL, 33902 |
| SIMONSON KATHLEEN | Agent | 4150 FORD STREET EXTENSION, FORT MYERS, FL, 33916 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2016-06-21 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-09-05 | SIMONSON, KATHLEEN | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-09 | 4150 FORD STREET EXTENSION, #1B, FORT MYERS, FL 33916 | - |
| CHANGE OF MAILING ADDRESS | 2012-01-09 | 4150 FORD STREET EXTENSION, #1B, FORT MYERS, FL 33916 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-09 | 4150 FORD STREET EXTENSION, #1B, FORT MYERS, FL 33916 | - |
| Name | Date |
|---|---|
| CORAPVDWN | 2016-06-21 |
| ANNUAL REPORT | 2015-01-06 |
| ANNUAL REPORT | 2014-01-10 |
| AMENDED ANNUAL REPORT | 2013-09-05 |
| ANNUAL REPORT | 2013-01-16 |
| ANNUAL REPORT | 2012-01-09 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-03-20 |
| ANNUAL REPORT | 2008-02-25 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
