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FIRST COAST PRIMARY CARE, INC. - Florida Company Profile

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Company Details

Entity Name: FIRST COAST PRIMARY CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Feb 2007 (19 years ago)
Date of dissolution: 30 Dec 2013 (12 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 30 Dec 2013 (12 years ago)
Document Number: P07000022428
FEI/EIN Number 205746243
Address: 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204
Mail Address: 2 SHIRCLIFF WAY, SUITE 600, JACKSONVILLE, FL, 32204
ZIP code: 32204
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHISHOLM MOODY President 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204
CHISHOLM MOODY Director 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204
DARNELL KAREN Director 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204
CAIN, M.D. ROGERS Director 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204
SHARPE, M.D. MICHAEL Director 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204
SHARPE, M.D. MICHAEL Vice Chairman 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204
ZOLLER, M.D. MARK Director 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204
FLYNN, M.D. RICHARD Director 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204
MIDDLEBROOKS J. HUGH Agent 2 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204

National Provider Identifier

NPI Number:
1528197993

Authorized Person:

Name:
LINDA E GOODEN
Role:
ADMINISTRATION MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9044006102

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000097866 ST. VINCENT'S PRIMARY CARE EXPIRED 2010-10-25 2015-12-31 - 2 SHIRCLIFF WAY, JACKSONVILLE, FL, 32082

Events

Event Type Filed Date Value Description
MERGER 2013-12-30 - CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS P10000016609. MERGER NUMBER 300000137103
REGISTERED AGENT NAME CHANGED 2013-04-25 MIDDLEBROOKS, J. HUGH -
CHANGE OF PRINCIPAL ADDRESS 2009-04-22 1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204 -
CHANGE OF MAILING ADDRESS 2009-04-22 1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-22 2 SHIRCLIFF WAY, STE 600, JACKSONVILLE, FL 32204 -

Documents

Name Date
ANNUAL REPORT 2013-04-25
ANNUAL REPORT 2012-04-30
ANNUAL REPORT 2011-03-01
ANNUAL REPORT 2010-04-09
ANNUAL REPORT 2009-04-22
ANNUAL REPORT 2008-04-21
Domestic Profit 2007-02-16

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Date of last update: 03 Aug 2025

Sources: Florida Department of State