| Entity Name: | MCCAULIE PRIMARY CARE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MCCAULIE PRIMARY CARE, 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: | 14 Nov 2001 (23 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P01000109720 |
| FEI/EIN Number |
593755350
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 520 AIA NORTH, STE 201, PONTE VEDRA BEACH, FL, 32082 |
| Mail Address: | 520 AIA NORTH, STE 201, PONTE VEDRA BEACH, FL, 32082 |
| ZIP code: | 32082 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417083171 | 2007-02-26 | 2011-04-05 | 520 A1A N, SUITE 201, PONTE VEDRA BEACH, FL, 320825212, US | 520 A1A N, SUITE 201, PONTE VEDRA BEACH, FL, 320825212, US | |||||||||||||||||||||||||
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| Phone | +1 904-280-5700 |
| Fax | 9042805703 |
Authorized person
| Name | JOHN ROBERT MCCAULIE |
| Role | PRESIDENT |
| Phone | 9042805700 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME 000054470 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 378911000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCCAULIE JOHN M | President | 520 AIA NORTH STE 201, PONTE VEDRA BEACH, FL, 32082 |
| MCCAULIE GRACE ANN | Vice President | 520 AIA NORTH STE 201, PONTE VEDRA BEACH, FL, 32082 |
| MCCAULIE JOHN M | Agent | 520 AIA NORTH, PONTE VEDRA BEACH, FL, 32082 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2002-02-05 | 520 AIA NORTH, STE 201, PONTE VEDRA BEACH, FL 32082 | - |
| CHANGE OF MAILING ADDRESS | 2002-02-05 | 520 AIA NORTH, STE 201, PONTE VEDRA BEACH, FL 32082 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2002-02-05 | 520 AIA NORTH, STE 201, PONTE VEDRA BEACH, FL 32082 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-01-06 |
| ANNUAL REPORT | 2010-01-07 |
| ANNUAL REPORT | 2009-04-17 |
| ANNUAL REPORT | 2008-01-11 |
| ANNUAL REPORT | 2007-01-15 |
| ANNUAL REPORT | 2006-03-31 |
| ANNUAL REPORT | 2005-01-14 |
| ANNUAL REPORT | 2004-02-11 |
| ANNUAL REPORT | 2003-02-13 |
| ANNUAL REPORT | 2002-02-05 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
