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SAMUEL WALTERS, D.O., P.A. - Florida Company Profile

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Company Details

Entity Name: SAMUEL WALTERS, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SAMUEL WALTERS, D.O., 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: 26 Dec 2001 (23 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: P01000121193
FEI/EIN Number 010563833

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

Address: 6531 103RD ST., JACKSONVILLE, FL, 32210
Mail Address: 6531 103RD ST., JACKSONVILLE, FL, 32210
ZIP code: 32210
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WALTERS SAMUEL Director 6531 103RD ST., JACKSONVILLE, FL, 32210
WALTERS SAMUEL Agent 6531 103RD ST., JACKSONVILLE, FL, 32210

National Provider Identifier

NPI Number:
1285966499

Authorized Person:

Name:
SAMUEL WALTERS
Role:
CEO/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9047721693

Form 5500 Series

Employer Identification Number (EIN):
010563833
Plan Year:
2017
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
REINSTATEMENT 2011-10-04 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2009-06-23 6531 103RD ST., JACKSONVILLE, FL 32210 -
CHANGE OF MAILING ADDRESS 2009-06-23 6531 103RD ST., JACKSONVILLE, FL 32210 -
REGISTERED AGENT ADDRESS CHANGED 2009-06-23 6531 103RD ST., JACKSONVILLE, FL 32210 -

Documents

Name Date
ANNUAL REPORT 2021-04-24
ANNUAL REPORT 2020-06-13
ANNUAL REPORT 2019-04-28
ANNUAL REPORT 2018-04-29
ANNUAL REPORT 2017-04-01
ANNUAL REPORT 2016-07-16
ANNUAL REPORT 2015-04-25
ANNUAL REPORT 2014-02-01
ANNUAL REPORT 2013-03-02
ANNUAL REPORT 2012-03-22

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Date of last update: 01 Jun 2025

Sources: Florida Department of State