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FIRST COAST PHYSICAL MEDICINE, INC. - Florida Company Profile

Company Details

Entity Name: FIRST COAST PHYSICAL MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FIRST COAST PHYSICAL MEDICINE, 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: 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: 22 Nov 2005 (19 years ago)
Date of dissolution: 24 Sep 2010 (15 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2010 (15 years ago)
Document Number: P05000154791
FEI/EIN Number 542187997

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 13850 SW 100TH AVENUE, MIAMI, FL, 33176
Mail Address: 13850 SW 100TH AVENUE, MIAMI, FL, 33176
ZIP code: 33176
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467550525 2006-09-20 2020-08-22 P. O. BOX 55065, JACKSONVILLE, FL, 322162790, US 3100 UNIVERSITY BLVD. S., SUITE 320, JACKSONVILLE, FL, 322162790, US

Contacts

Phone +1 904-727-7733
Fax 9047277737

Authorized person

Name MS. JANET L. STEPHENS
Role OFFICE MANAGER
Phone 9047277733

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Key Officers & Management

Name Role Address
WALLACH RICHARD S Director 13850 SW 100 AVENUE, MIAMI, FL, 33176
WALLACH RICHARD S Agent 13850 SW 100 AVENUE, MIAMI, FL, 33176

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2009-04-27 13850 SW 100TH AVENUE, MIAMI, FL 33176 -
CHANGE OF MAILING ADDRESS 2009-04-27 13850 SW 100TH AVENUE, MIAMI, FL 33176 -
REGISTERED AGENT NAME CHANGED 2006-09-13 WALLACH, RICHARD SPRES. -
REGISTERED AGENT ADDRESS CHANGED 2006-09-13 13850 SW 100 AVENUE, MIAMI, FL 33176 -

Documents

Name Date
ANNUAL REPORT 2009-04-27
ANNUAL REPORT 2008-04-08
ANNUAL REPORT 2007-01-05
ANNUAL REPORT 2006-09-13
ANNUAL REPORT 2006-04-20
Domestic Profit 2005-11-22

Date of last update: 01 Apr 2025

Sources: Florida Department of State