Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Clay
    4. ›
  4. 32003
    5. ›
  5. RICHARD D. CURTIS, M.D. P.A.

RICHARD D. CURTIS, M.D. P.A.

Company Details

Entity Name: RICHARD D. CURTIS, M.D. P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
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
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

National Provider Identifier

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

Contacts
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

form 5500

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
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 796 CHERRY GROVE ROAD, ORANGE PARK, FL, 32073

Signature of
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
RICHARD D. CURTIS, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2011 201175280 2013-07-10 RICHARD D. CURTIS, M.D.,P.A. 5
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
RICHARD D. CURTIS, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2010 201175280 2012-07-16 RICHARD D. CURTIS, M.D.,P.A. 6
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
RICHARD D. CURTIS, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2009 201175280 2010-08-05 RICHARD D. CURTIS, M.D., P.A. No data
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

Agent

Name Role Address
CURTIS RICHARD DMD Agent 1715 EAGLE HARBOR PARKWAY, FLEMING ISLAND, FL, 32003

President

Name Role Address
CURTIS RICHARD D President 1715 EAGLE HARBOR PARKWAY, SUITE A, FLEMING ISLAND, FL, 32003

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2013-05-02 No data No data
CHANGE OF PRINCIPAL ADDRESS 2010-03-12 1715 EAGLE HARBOR PARKWAY, SUITE A, FLEMING ISLAND, FL 32003 No data
CHANGE OF MAILING ADDRESS 2010-03-12 1715 EAGLE HARBOR PARKWAY, SUITE A, FLEMING ISLAND, FL 32003 No data
REGISTERED AGENT ADDRESS CHANGED 2010-03-12 1715 EAGLE HARBOR PARKWAY, SUITE A, FLEMING ISLAND, FL 32003 No data
REGISTERED AGENT NAME CHANGED 2005-02-11 CURTIS, RICHARD D, MD No data
AMENDMENT 2004-09-03 No data No data

Documents

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

Related by officers

CURTIS RICHARD D

PROCENTRAL PRESSURE WASHING LLC HAND-IN-HAND PROPERTIES, LLC BINDERY PLUS, INC. PROCENTRAL PRESSURE WASHING, INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated