| Entity Name: | REGINALD L. SYKES, SR., M.D.,P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Aug 2001 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 20 Oct 2003 (21 years ago) |
| Document Number: | P01000080780 |
| FEI/EIN Number | 593754418 |
| Address: | 10434 Dexter Drive West, Jacksonville, FL, 32218, US |
| Mail Address: | 10434 Dexte Drive West, JACKSONVILLE, FL, 32218, US |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013356641 | 2013-06-17 | 2013-06-17 | 3160 EDGEWOOD AVE W, JACKSONVILLE, FL, 322092245, US | 3160 EDGEWOOD AVE W, JACKSONVILLE, FL, 322092245, US | |||||||||||||||||||||||||
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| Phone | +1 904-768-8222 |
| Fax | 9044820373 |
Authorized person
| Name | DR. REGINALD L SYKES SR. |
| Role | PRESIDENT/PHYSICIAN |
| Phone | 9047688222 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME58350 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 064400500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARSHALL REESE | Agent | 214 E ASHLEY ST, JACKSONVILLE, FL, 32202 |
| Name | Role | Address |
|---|---|---|
| SYKES REGINALD L | @ | 10434 DEXTER DR. W, JACKSONVILLE, FL, 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-11 | 10434 Dexter Drive West, Jacksonville, FL 32218 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-30 | 10434 Dexter Drive West, Jacksonville, FL 32218 | No data |
| REINSTATEMENT | 2003-10-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000038731 | ACTIVE | 1000000874441 | DUVAL | 2021-01-25 | 2031-01-27 | $ 673.06 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| J12000957186 | TERMINATED | 1000000410496 | DUVAL | 2012-11-29 | 2032-12-05 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| J12000367444 | TERMINATED | 1000000273138 | DUVAL | 2012-04-24 | 2032-05-02 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| J12000367477 | TERMINATED | 1000000273145 | DUVAL | 2012-04-24 | 2032-05-02 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-04 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-02-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
