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BERT FISH MEDICAL CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: BERT FISH MEDICAL CENTER, 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: 13 Mar 1995 (30 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 28 Jun 2011 (14 years ago)
Document Number: N95000001178
FEI/EIN Number 593306983

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

Address: 909 Carey Drive, South Daytona, FL, 32119, US
Mail Address: PO BOX 909, NEW SMYRNA BEACH, FL, 32170, US
ZIP code: 32119
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Card Harold Secretary 3019 WILLOW OAK DRIVE, EDGEWATER, FL, 32141
PRESTON WILLIAM Chairman 605 SOUTH ORANGE STREET, NEW SMYRNA BEACH, FL, 32168
DAVIDSON JEFF Chief Financial Officer 305 MAGNOLIA STREET, NEW SMYRNA BEACH, FL, 32168
DAVIDSON JEFF Agent 909 Carey Drive, South Daytona, FL, 32119

National Provider Identifier

NPI Number:
1245275734

Authorized Person:

Name:
MR. AL ALLRED
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
Yes

Contacts:

Legal Entity Identifier

LEI Number:
549300KH311MT8TXEY22

Registration Details:

Initial Registration Date:
2013-03-22
Next Renewal Date:
2015-03-07
Registration Status:
LAPSED
Validation Source:
FULLY_CORROBORATED

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000011910 BFMC COMMUNITY HEALTH CENTER EXPIRED 2015-02-03 2020-12-31 - 401 PALMETTO STREET, NEW SMYRNA BEACH, FL, 32168
G11000050281 BERT FISH EDGEWATER IMAGING AND DIAGNOSTIC CENTER EXPIRED 2011-05-27 2016-12-31 - 239 N. RIDGEWOOD AVENUE, EDGEWATER, FL, 32132
G11000048975 BERT FISH MEDICAL CENTER ACTIVE 2011-05-24 2026-12-31 - PO BOX 909, NEW SMYRNA BEACH, FL, 32170, US
G08042900615 CORONADO RHEUMATOLOGY CARE EXPIRED 2008-02-11 2013-12-31 - 401 PALMETTO STREET, NEW SMYRNA BEACH, FL, 32168

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-03-12 909 Carey Drive, South Daytona, FL 32119 -
CHANGE OF PRINCIPAL ADDRESS 2021-03-12 909 Carey Drive, South Daytona, FL 32119 -
REGISTERED AGENT NAME CHANGED 2017-10-19 DAVIDSON, JEFF -
CHANGE OF MAILING ADDRESS 2016-08-30 909 Carey Drive, South Daytona, FL 32119 -
AMENDED AND RESTATEDARTICLES 2011-06-28 - -
MERGER 2010-07-01 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000106039
RESTATED ARTICLES 2010-07-01 - -
AMENDMENT 1995-06-30 - -

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-05-19
ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2018-01-15
Reg. Agent Change 2017-10-19
Reg. Agent Change 2017-07-28
ANNUAL REPORT 2017-01-10

OSHA's Inspections within Industry

Inspection Summary

Date:
2015-10-30
Type:
Complaint
Address:
401 PALMETTO STREET, NEW SMYRNA, FL, 32168
Safety Health:
Health
Scope:
Complete

Inspection Summary

Date:
2014-04-25
Type:
Complaint
Address:
713 LIVE OAK STREET, NEW SMYRNA BEACH, FL, 32168
Safety Health:
Health
Scope:
Partial

Tax Exempt

Employer Identification Number (EIN) :
59-3306983
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:
1995-10
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 03 Jun 2025

Sources: Florida Department of State