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FIRST KNIGHT MEDICAL, INC. - Florida Company Profile

Company Details

Entity Name: FIRST KNIGHT MEDICAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FIRST KNIGHT MEDICAL, INC. 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: 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: 22 Jan 2002 (23 years ago)
Document Number: P02000009207
FEI/EIN Number 010548334

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

Address: 8508 ALAFIA HILLS DR, PLANT CITY, FL, 33567
Mail Address: 8508 ALAFIA HILLS DR, PLANT CITY, FL, 33567
ZIP code: 33567
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780655647 2006-01-30 2013-05-10 8508 ALAFIA HILLS DR, PLANT CITY, FL, 335673408, US 8508 ALAFIA HILLS DR, PLANT CITY, FL, 335673408, US

Contacts

Phone +1 813-650-8600
Fax 8136508664

Authorized person

Name DR. LAURENCE MILTON PETTY
Role PRESIDENT/PHYSICIAN
Phone 8136508600

Taxonomy

Taxonomy Code 207RG0300X - Geriatric Medicine (Internal Medicine) Physician
License Number ME0068819
State FL
Is Primary Yes
Taxonomy Code 207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
License Number ME0068819
State FL
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 255973100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIRST KNIGHT MEDICAL, INC. 401(K) PROFIT SHARING PLAN 2023 010548334 2024-11-11 FIRST KNIGHT MEDICAL, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 7276473686
Plan sponsor’s address 8508 ALAFIA HILLS DRIVE, PLANT CITY, FL, 33567

Signature of

Role Plan administrator
Date 2024-11-11
Name of individual signing GLORIA PETTY
Valid signature Filed with authorized/valid electronic signature
FIRST KNIGHT MEDICAL, INC. 401(K) PROFIT SHARING PLAN 2022 010548334 2024-01-25 FIRST KNIGHT MEDICAL, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 8136508600
Plan sponsor’s address 8508 ALAFIA HILLS DRIVE, PLANT CITY, FL, 33567

Signature of

Role Plan administrator
Date 2024-01-25
Name of individual signing BRIAN LEIDEL
Valid signature Filed with authorized/valid electronic signature
FIRST KNIGHT MEDICAL, INC. 401(K) PROFIT SHARING PLAN 2021 010548334 2023-02-08 FIRST KNIGHT MEDICAL, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 8136508600
Plan sponsor’s address 8505 ALAFIA HILLS DRIVE, PLANT CITY, FL, 33567

Signature of

Role Plan administrator
Date 2023-02-08
Name of individual signing BRIAN LEIDEL
Valid signature Filed with authorized/valid electronic signature
FIRST KNIGHT MEDICAL, INC. 401(K) PROFIT SHARING PLAN 2020 010548334 2021-03-15 FIRST KNIGHT MEDICAL, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 8136508600
Plan sponsor’s address 8508 ALAFIA HILLS DRIVE, PLANT CITY, FL, 33567
FIRST KNIGHT MEDICAL, INC. 401(K) PROFIT SHARING PLAN 2020 010548334 2021-10-12 FIRST KNIGHT MEDICAL, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 8136508600
Plan sponsor’s address 8505 ALAFIA HILLS DRIVE, PLANT CITY, FL, 33567
FIRST KNIGHT MEDICAL, INC. 401(K) PROFIT SHARING PLAN 2020 010548334 2021-03-15 FIRST KNIGHT MEDICAL, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 8136508600
Plan sponsor’s address 8508 ALAFIA HILLS DRIVE, PLANT CITY, FL, 33567
FIRST KNIGHT MEDICAL, INC. 401(K) PROFIT SHARING PLAN 2019 010548334 2021-03-15 FIRST KNIGHT MEDICAL, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 8136508600
Plan sponsor’s address 8508 ALAFIA HILLS DRIVE, PLANT CITY, FL, 33567
FIRST KNIGHT MEDICAL, INC. 401(K) PROFIT SHARING PLAN 2017 010548334 2018-10-15 FIRST KNIGHT MEDICAL, INC. 8
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 8136508600
Plan sponsor’s address 8508 ALAFIA HILLS DRIVE, PLANT CITY, FL, 33567
FIRST KNIGHT MEDICAL, INC. 401(K) PROFIT SHARING PLAN 2016 010548334 2018-01-30 FIRST KNIGHT MEDICAL, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 8136508600
Plan sponsor’s address 8508 ALAFIA HILLS DRIVE, PLANT CITY, FL, 33567

Key Officers & Management

Name Role Address
PETTY LAURENCE Director 8508 ALAFIA HILS DR, PLANT CITY, FL, 33567
PETTY GLORIA Vice President 8508 ALAFIA HILLS DR, PLANT CITY, FL, 33567
Petty Laurence MDirecto Agent 8508 ALAFIA HILLS DR, PLANT CITY, FL, 33567

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000097935 LAURENCE M PETTY MD EXPIRED 2015-09-23 2020-12-31 - 8508 ALAFIA HILLS DRIVE, PLANT CITY, FL, 33567

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-01-25 Petty, Laurence M, Director -
REGISTERED AGENT ADDRESS CHANGED 2022-01-25 8508 ALAFIA HILLS DR, PLANT CITY, FL 33567 -
CHANGE OF PRINCIPAL ADDRESS 2008-02-04 8508 ALAFIA HILLS DR, PLANT CITY, FL 33567 -
CHANGE OF MAILING ADDRESS 2008-02-04 8508 ALAFIA HILLS DR, PLANT CITY, FL 33567 -

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-03-12
ANNUAL REPORT 2022-01-25
Reg. Agent Resignation 2021-12-15
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-03-03
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-04-09
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-05-18

Date of last update: 02 Mar 2025

Sources: Florida Department of State