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OAK HILL FAMILY CARE CENTER, INC.

Company Details

Entity Name: OAK HILL FAMILY CARE CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Feb 2003 (22 years ago)
Document Number: P03000013482
FEI/EIN Number 830347748
Address: 4760 BLANDING BLVD, JACKSONVILLE, FL, 32210
Mail Address: 2501 Sunny Creek Dr, Fleming Island, FL, 32003, US
ZIP code: 32210
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235475575 2012-12-13 2012-12-13 4760 BLANDING BLVD, JACKSONVILLE, FL, 322107327, US 4760 BLANDING BLVD, JACKSONVILLE, FL, 322107327, US

Contacts

Phone +1 904-778-4448
Fax 9047783634

Authorized person

Name MRS. AMANDA CLIMACOSA ZAIDE
Role PRESIDENT/PHYSICIAN
Phone 9047784448

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME33447
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OAK HILL FAMILY CARE CENTER 401(K) PLAN 2020 830347748 2021-01-15 OAK HILL FAMILY CARE CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9047784448
Plan sponsor’s address 4760 BLANDING BLVD, JACKSONVILLE, FL, 32210
OAK HILL FAMILY CARE CENTER 401(K) PLAN 2019 830347748 2020-01-23 OAK HILL FAMILY CARE CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9047784448
Plan sponsor’s address 4760 BLANDING BLVD, JACKSONVILLE, FL, 32210
OAK HILL FAMILY CARE CENTER 401(K) PLAN 2018 830347748 2019-07-02 OAK HILL FAMILY CARE CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9047784448
Plan sponsor’s address 4760 BLANDING BLVD, JACKSONVILLE, FL, 32210
OAK HILL FAMILY CARE CENTER 401(K) PLAN 2017 830347748 2018-07-26 OAK HILL FAMILY CARE CENTER 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9047784448
Plan sponsor’s address 4760 BLANDING BLVD, JACKSONVILLE, FL, 32210
OAK HILL FAMILY CARE CENTER 401(K) PLAN 2016 830347748 2017-04-20 OAK HILL FAMILY CARE CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9047784448
Plan sponsor’s address 4760 BLANDING BLVD, JACKSONVILLE, FL, 32210
OAK HILL FAMILY CARE CENTER 401(K) PLAN 2015 830347748 2017-04-20 OAK HILL FAMILY CARE CENTER 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9047784448
Plan sponsor’s address 4760 BLANDING BLVD, JACKSONVILLE, FL, 32210
OAK HILL FAMILY CARE CENTER 401(K) PLAN 2015 830347748 2016-05-09 OAK HILL FAMILY CARE CENTER 9
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9047784448
Plan sponsor’s address 4760 BLANDING BLVD, JACKSONVILLE, FL, 32210
OAK HILL FAMILY CARE CENTER 401(K) PLAN 2014 830347748 2015-03-18 OAK HILL FAMILY CARE CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9047784448
Plan sponsor’s address 4760 BLANDING BLVD, JACKSONVILLE, FL, 32210
OAK HILL FAMILY CARE CENTER 401(K) PLAN 2013 830347748 2014-05-15 OAK HILL FAMILY CARE CENTER 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9047784448
Plan sponsor’s address 4760 BLANDING BLVD, JACKSONVILLE, FL, 32210
OAK HILL FAMILY CARE CENTER 401(K) PLAN 2012 830347748 2013-03-14 OAK HILL FAMILY CARE CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9047784448
Plan sponsor’s address 4760 BLANDING BLVD, JACKSONVILLE, FL, 32210

Signature of

Role Plan administrator
Date 2013-03-14
Name of individual signing AMANDA C. ZAIDE, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-14
Name of individual signing AMANDA C. ZAIDE, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BYATT LIZA R Agent 2501 Sunny Creek Dr, Fleming Island, FL, 32003

President

Name Role Address
BYATT LIZA R President 2501 Sunny Creek Dr, Fleming Island, FL, 32003

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-01-13 4760 BLANDING BLVD, JACKSONVILLE, FL 32210 No data
REGISTERED AGENT NAME CHANGED 2022-01-13 BYATT, LIZA R No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-13 2501 Sunny Creek Dr, Fleming Island, FL 32003 No data
CHANGE OF PRINCIPAL ADDRESS 2004-07-06 4760 BLANDING BLVD, JACKSONVILLE, FL 32210 No data

Documents

Name Date
ANNUAL REPORT 2024-08-27
ANNUAL REPORT 2023-07-21
ANNUAL REPORT 2022-01-13
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-11
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-03-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State