| Entity Name: | RICHARD D. CURTIS, M.D. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
RICHARD D. CURTIS, M.D. 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: | 14 May 2004 (21 years ago) |
| Date of dissolution: | 02 May 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 May 2013 (12 years ago) |
| Document Number: | P04000078198 |
| FEI/EIN Number |
201175280
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1715 EAGLE HARBOR PARKWAY, SUITE A, FLEMING ISLAND, FL, 32003 |
| Mail Address: | 1715 EAGLE HARBOR PARKWAY, SUITE A, FLEMING ISLAND, FL, 32003 |
| ZIP code: | 32003 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972799534 | 2007-09-18 | 2010-08-03 | 1715 EAGLE HARBOR PKWY, SUITE A, FLEMING ISLAND, FL, 320034323, US | 1715 EAGLE HARBOR PKWY, SUITE A, FLEMING ISLAND, FL, 320034323, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 904-215-2422 |
| Fax | 9042156122 |
Authorized person
| Name | DR. RICHARD D CURTIS |
| Role | PRESIDENT |
| Phone | 9042152422 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME86051 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207XS0106X - Orthopaedic Hand Surgery Physician |
| License Number | ME86051 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001701100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD D. CURTIS, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST | 2012 | 201175280 | 2014-01-30 | RICHARD D. CURTIS, M.D.,P.A. | 5 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-01-30 |
| Name of individual signing | RICHARD D. CURTIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2014-01-30 |
| Name of individual signing | RICHARD D. CURTIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9042152422 |
| Plan sponsor’s address | 1715 EAGLE HARBOR PARKWAY, #A, FLEMING ISLE, FL, 320034323 |
Plan administrator’s name and address
| Administrator’s EIN | 201175280 |
| Plan administrator’s name | RICHARD D. CURTIS, M.D.,P.A. |
| Plan administrator’s address | 1715 EAGLE HARBOR PARKWAY, #A, FLEMING ISLE, FL, 320034323 |
| Administrator’s telephone number | 9042152422 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-10 |
| Name of individual signing | RICHARD D. CURTIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-10 |
| Name of individual signing | RICHARD D. CURTIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9042152422 |
| Plan sponsor’s address | 1715 EAGLE HARBOR PARKWAY, #A, FLEMING ISLE, FL, 320034323 |
Plan administrator’s name and address
| Administrator’s EIN | 201175280 |
| Plan administrator’s name | RICHARD D. CURTIS, M.D.,P.A. |
| Plan administrator’s address | 1715 EAGLE HARBOR PARKWAY, #A, FLEMING ISLE, FL, 320034323 |
| Administrator’s telephone number | 9042152422 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-16 |
| Name of individual signing | RICHARD CURTIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-16 |
| Name of individual signing | RICHARD CURTIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Plan sponsor’s mailing address | 1715 EAGLE HARBOR PARKWAY, A, FLEMING ISLE, FL, 32003 |
| Plan sponsor’s address | 1715 EAGLE HARBOR PARKWAY, A, FLEMING ISLE, FL, 32003 |
Plan administrator’s name and address
| Administrator’s EIN | 201175280 |
| Plan administrator’s name | RICHARD D. CURTIS, M.D., P.A. |
| Plan administrator’s address | 1715 EAGLE HARBOR PARKWAY, A, FLEMING ISLE, FL, 32003 |
| Name | Role | Address |
|---|---|---|
| CURTIS RICHARD D | President | 1715 EAGLE HARBOR PARKWAY, SUITE A, FLEMING ISLAND, FL, 32003 |
| CURTIS RICHARD DMD | Agent | 1715 EAGLE HARBOR PARKWAY, FLEMING ISLAND, FL, 32003 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-05-02 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-12 | 1715 EAGLE HARBOR PARKWAY, SUITE A, FLEMING ISLAND, FL 32003 | - |
| CHANGE OF MAILING ADDRESS | 2010-03-12 | 1715 EAGLE HARBOR PARKWAY, SUITE A, FLEMING ISLAND, FL 32003 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-12 | 1715 EAGLE HARBOR PARKWAY, SUITE A, FLEMING ISLAND, FL 32003 | - |
| REGISTERED AGENT NAME CHANGED | 2005-02-11 | CURTIS, RICHARD D, MD | - |
| AMENDMENT | 2004-09-03 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-09 |
| ANNUAL REPORT | 2011-04-06 |
| ANNUAL REPORT | 2010-03-12 |
| ANNUAL REPORT | 2009-03-25 |
| ANNUAL REPORT | 2008-04-14 |
| ANNUAL REPORT | 2007-05-02 |
| ANNUAL REPORT | 2006-03-15 |
| ANNUAL REPORT | 2005-02-11 |
| Amendment | 2004-09-03 |
| Domestic Profit | 2004-05-14 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
