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CLEVELAND W. RANDOLPH, JR., M.D. P.A. - Florida Company Profile

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Company Details

Entity Name: CLEVELAND W. RANDOLPH, JR., M.D. P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Dec 2003 (22 years ago)
Last Event: AMENDMENT
Event Date Filed: 13 Jan 2006 (20 years ago)
Document Number: P03000142913
FEI/EIN Number 770616091
Address: 1891 BEACH BLVD STE 200, JACKSONVILLE BEACH, FL, 32250, US
Mail Address: 1891 BEACH BLVD STE 200, JACKSONVILLE BEACH, FL, 32250, US
ZIP code: 32250
City: Jacksonville Beach
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Northwest Registered Agent, Inc. Agent 7901 4th Street North, St. Petersburg, FL, 33702
Thomas Nicole Director 1891 BEACH BLVD STE 200, JACKSONVILLE, FL, 32250
Garces Steven Director 1891 BEACH BLVD STE 200, JACKSONVILLE, FL, 32250

National Provider Identifier

NPI Number:
1497808182

Authorized Person:

Name:
DR. CLEVELAND W RANDOLPH JR.
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
9042492047

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000005927 DR. RANDOLPH'S AGELESS AND WELLNESS MEDICAL CENTER ACTIVE 2022-01-17 2027-12-31 - 1891 BEACH BLVD, SUITE 200, JACKSONVILLE BEACH, FL, 32250
G14000109718 DR. RANDOLPH'S PHARMACY & WELLNESS STORE EXPIRED 2014-10-30 2024-12-31 - 1891 BEACH BLVD, STE 100, JACKSONVILLE BEACH, FL, 32250
G10000107479 DR. RANDOLPH'S AGELESS AND WELLNESS MEDICAL CENTER EXPIRED 2010-11-24 2015-12-31 - 1891 BEACH BLVD, SUITE 200, JACKSONVILLE BEACH, FL, 32250, US

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-14 1891 BEACH BLVD STE 200, JACKSONVILLE BEACH, FL 32250 -
CHANGE OF MAILING ADDRESS 2023-02-14 1891 BEACH BLVD STE 200, JACKSONVILLE BEACH, FL 32250 -
REGISTERED AGENT NAME CHANGED 2022-06-29 Northwest Registered Agent, Inc. -
REGISTERED AGENT ADDRESS CHANGED 2022-06-29 7901 4th Street North, Suite 300, St. Petersburg, FL 33702 -
AMENDMENT 2006-01-13 - -
AMENDMENT AND NAME CHANGE 2004-02-20 CLEVELAND W. RANDOLPH, JR., M.D. P.A. -

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-02-14
AMENDED ANNUAL REPORT 2022-06-29
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-06-02
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-10
ANNUAL REPORT 2016-04-19

Trademarks

Serial Number:
98433697
Mark:
DR. RANDOLPH'S
Status:
NON-FINAL ACTION - MAILED
Mark Type:
TRADEMARK, SERVICE MARK
Application Filing Date:
2024-03-05
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
DR. RANDOLPH'S

Goods And Services

For:
Vitamins and vitamin preparations; Vitamin supplements; Nutritional supplements; Dietary supplements; Probiotic supplements; Bio-identical hormone replacement therapy preparations; Nutraceuticals for the treatment of conditions associated with andropause; Nutraceuticals for the treatment of conditio...
First Use:
2008-12-31
International Classes:
005 - Primary Class
Class Status:
Active
For:
Retail store services and online retail store services featuring vitamins, supplements, nutraceuticals, men's health products, women's health products, sleep and relaxation products, hormone balance preparations, bio-identical hormone replacement therapies, anti-aging preparations, all for human con...
First Use:
2008-12-31
International Classes:
035 - Primary Class
Class Status:
Active
For:
Medical services; Wellness and health-related consulting services; Conducting telephone and in-person personal lifestyle wellness assessments; Pharmaceutical compounding services; Medical clinic providing weight loss solutions, services and programs, nutrition counseling, hormone therapy, anti aging...
First Use:
2008-12-31
International Classes:
044 - Primary Class
Class Status:
Active

Paycheck Protection Program

Jobs Reported:
30
Initial Approval Amount:
$349,217
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$349,217
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$353,630.71
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $349,217

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Date of last update: 01 Aug 2025

Sources: Florida Department of State