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NORTH FLORIDA MEDICAL CLINIC, INC. - Florida Company Profile

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Company Details

Entity Name: NORTH FLORIDA MEDICAL CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Jun 2005 (20 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 09 Oct 2006 (19 years ago)
Document Number: P05000093597
FEI/EIN Number 203092060
Address: 1361 13TH AVENUE SOUTH SUITE 150, JACKSONVILLE BEACH, FL, 32250
Mail Address: 1361 13TH AVENUE SOUTH SUITE 150, JACKSONVILL BEACH, FL, 32250
ZIP code: 32250
City: Jacksonville Beach
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HOLTHAUS KEVIN M President 1361 13TH AVENUE SOUTH, SUITE 150, JACKSONVILLE BEACH, FL, 32250
BRENNAN MANNA & DIAMOND PL Agent THE SUNTRUST BUILDING, JACKSONVILLE, FL, 32202

National Provider Identifier

NPI Number:
1639126907

Authorized Person:

Name:
HOLTHAUS KEVIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9043380951
Fax:
9042427162

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2011-04-05 1361 13TH AVENUE SOUTH SUITE 150, JACKSONVILLE BEACH, FL 32250 -
CANCEL ADM DISS/REV 2006-10-09 - -
CHANGE OF PRINCIPAL ADDRESS 2006-10-09 1361 13TH AVENUE SOUTH SUITE 150, JACKSONVILLE BEACH, FL 32250 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-02-10
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-05-14
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-03-31
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-14

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
151366.00
Total Face Value Of Loan:
151366.00

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$151,366
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$151,366
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$153,418.77
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $151,366

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Date of last update: 02 Aug 2025

Sources: Florida Department of State