| Entity Name: | SAN JOSE CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SAN JOSE CLINIC, 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: |
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: | 02 Oct 2003 (22 years ago) |
| Document Number: | P03000109069 |
| FEI/EIN Number |
593768885
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2449 UNIVERSITY BLVD W, JACKSONVILLE, FL, 32217 |
| Mail Address: | 2449 UNIVERSITY BLVD W, JACKSONVILLE, FL, 32217 |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083846349 | 2009-08-19 | 2009-08-19 | 504 BASSWOOD CT, JACKSONVILLE, FL, 322594436, US | 2449 UNIVERSITY BLVD W, JACKSONVILLE, FL, 322172037, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 904-256-3330 |
| Fax | 9042563332 |
Authorized person
| Name | DR. ANTOINE KASSIS |
| Role | MEDICAL DIRECTOR |
| Phone | 9042563330 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME75962 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 263567400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KASSIS ANTOINE M | President | 2449 UNIVERSITY BLVD W, JACKSONVILLE, FL, 32217 |
| KASSIS ANTOINE M | Secretary | 2449 UNIVERSITY BLVD W, JACKSONVILLE, FL, 32217 |
| KASSIS ANTOINE M | Treasurer | 2449 UNIVERSITY BLVD W, JACKSONVILLE, FL, 32217 |
| KASSIS ANTOINE M | Director | 2449 UNIVERSITY BLVD W, JACKSONVILLE, FL, 32217 |
| KASSIS ANTOINE | Agent | 2449 UNIVERSITY BLVD W, JACKSONVILLE, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-20 | 2449 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217 | - |
| CHANGE OF MAILING ADDRESS | 2009-03-20 | 2449 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-20 | 2449 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217 | - |
| REGISTERED AGENT NAME CHANGED | 2006-12-15 | KASSIS, ANTOINE | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-25 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
