| Entity Name: | FIRST COAST PODIATRY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FIRST COAST PODIATRY, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 24 Feb 2000 (25 years ago) |
| Date of dissolution: | 28 Sep 2012 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (13 years ago) |
| Document Number: | P00000019528 |
| FEI/EIN Number |
593632434
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 800 LOMAX ST, SUITE 116, JACKSONVILLE, FL, 32204 |
| Mail Address: | PO BOX 2588, JACKSONVILLE, FL, 32203 |
| ZIP code: | 32204 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881876902 | 2007-11-30 | 2023-06-28 | 3115 SPRING GLEN RD STE 507, JACKSONVILLE, FL, 322075907, US | 3115 SPRING GLEN RD STE 507, JACKSONVILLE, FL, 322075907, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 904-354-1192 |
| Fax | 9043541193 |
Authorized person
| Name | JAYNELL SMITH-CAMERON |
| Role | PODIATRIST |
| Phone | 9043541192 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO2487 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 340105700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SMITH-CAMERON JAYNELL M | President | 3141 DELLWOOD AVE, JACKSONVILLE, FL, 32205 |
| SMITH-CAMERON JAYNELL M | Secretary | 3141 DELLWOOD AVE, JACKSONVILLE, FL, 32205 |
| CAMERON VINCE | Vice President | 2589 COLLEGE ST., JACKSONVILLE, FL, 32204 |
| WILLIAMS ROWLAND V | Agent | 6411-1 ARLINGTON RD., JACKSONVILLE, FL, 32211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-05-01 | 6411-1 ARLINGTON RD., JACKSONVILLE, FL 32211 | - |
| REGISTERED AGENT NAME CHANGED | 2011-05-01 | WILLIAMS, ROWLAND V | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-19 | 800 LOMAX ST, SUITE 116, JACKSONVILLE, FL 32204 | - |
| REINSTATEMENT | 2010-02-19 | - | - |
| CHANGE OF MAILING ADDRESS | 2010-02-19 | 800 LOMAX ST, SUITE 116, JACKSONVILLE, FL 32204 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-05-01 |
| Reinstatement | 2010-02-19 |
| Domestic Profit | 2000-02-24 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
