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MEADOWCREST FAMILY PHYSICIANS, P.A. - Florida Company Profile

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Company Details

Entity Name: MEADOWCREST FAMILY PHYSICIANS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 May 2005 (20 years ago)
Document Number: P05000077696
FEI/EIN Number 202932425
Address: 1250 N. VANTAGE PT. DR., CRYSTAL RIVER, FL, 34429, US
Mail Address: 1250 N. VANTAGE PT. DR., CRYSTAL RIVER, FL, 34429, US
ZIP code: 34429
City: Crystal River
County: Citrus
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DICKERT JIMMY C President 1250 N Vantage Pt Dr, CRYSTAL RIVER, FL, 34429
Dickert Alex JDr. Secretary 1250 N Vantage Pt Dr, CRYSTAL RIVER, FL, 34429
Dickert Ryan S Vice President 1250 N. VANTAGE PT. DR., CRYSTAL RIVER, FL, 34429
DICKERT JIMMY C Agent 1250 N Vantage Pt Dr, CRYSTAL RIVER, FL, 34429

National Provider Identifier

NPI Number:
1528881851
Certification Date:
2024-11-05

Authorized Person:

Name:
MS. STACY HARKLERODE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3527955950

Form 5500 Series

Employer Identification Number (EIN):
202932425
Plan Year:
2023
Number Of Participants:
35
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
51
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
42
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
32
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
27
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-01-16 1250 N Vantage Pt Dr, CRYSTAL RIVER, FL 34429 -
CHANGE OF PRINCIPAL ADDRESS 2017-11-29 1250 N. VANTAGE PT. DR., CRYSTAL RIVER, FL 34429 -
CHANGE OF MAILING ADDRESS 2017-11-29 1250 N. VANTAGE PT. DR., CRYSTAL RIVER, FL 34429 -

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-02-04
AMENDED ANNUAL REPORT 2020-04-04
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-02-07
ANNUAL REPORT 2016-03-30

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
-212902.00
Total Face Value Of Loan:
438698.00

Paycheck Protection Program

Jobs Reported:
30
Initial Approval Amount:
$651,600
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$438,698
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$441,293.63
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $438,698

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Date of last update: 02 Aug 2025

Sources: Florida Department of State