| Entity Name: | NORTH FLORIDA MEDICAL CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
NORTH FLORIDA MEDICAL CLINIC, INC. 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| 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
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639126907 | 2006-05-30 | 2012-01-24 | PO BOX 17809, JACKSONVILLE, FL, 322457809, US | 1361 13TH AVE S STE 150, JACKSONVILLE BEACH, FL, 322503235, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-723-0015 |
| Fax | 9043380951 |
| Phone | +1 904-242-7177 |
| Fax | 9042427162 |
Authorized person
| Name | HOLTHAUS KEVIN |
| Role | PRESIDENT |
| Phone | 9042427177 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME43785 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 94954 |
| State | FL |
| Issuer | NPI |
| Number | 1639126907 |
| Issuer | RAILROAD MEDICARE |
| Number | DD6503 |
| State | FL |
| 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 |
| 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 | - | - |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4020547706 | 2020-05-01 | 0491 | PPP | 1361 13TH AVENUE SOUTH SUITE 150, JACKSONVILLE BEACH, FL, 32250 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
