| Entity Name: | ADVANCED FAMILY MEDICINE CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ADVANCED FAMILY MEDICINE 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: | 29 Oct 2007 (17 years ago) |
| Document Number: | P07000118267 |
| FEI/EIN Number |
261349798
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 328 Kelly Plantation Dr., Destin, FL, 32541, US |
| Address: | 327 Medcrest Drive, CRESTVIEW, FL, 32536, US |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184805830 | 2007-11-23 | 2020-04-17 | 327 MEDCREST DRIVE, UNIT A, CRESTVIEW, FL, 32536, US | 327 MEDCREST DRIVE, UNIT A, CRESTVIEW, FL, 32536, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-423-0761 |
| Fax | 8557933568 |
Authorized person
| Name | KATE R LOPS |
| Role | OWNER/PHYSICIAN |
| Phone | 8504230761 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME89643 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | TRICARE |
| Number | 1184805830 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 37798 |
| State | FL |
| Issuer | HUMANA |
| Number | 1184805830 |
| State | FL |
| Issuer | AETNA |
| Number | 1184803830 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Lops Kate | President | 328 Kelly Plantation Dr., Destin, FL, 32541 |
| Lops Kate | Secretary | 328 Kelly Plantation Dr., Destin, FL, 32541 |
| Lops Kate | Treasurer | 328 Kelly Plantation Dr., Destin, FL, 32541 |
| Lops Kate | Director | 328 Kelly Plantation Dr., Destin, FL, 32541 |
| Kate Lops R | Agent | 327 Medcrest Drive, CRESTVIEW, FL, 32536 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-02-24 | 327 Medcrest Drive, Unit A, CRESTVIEW, FL 32536 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-17 | 327 Medcrest Drive, Unit A, CRESTVIEW, FL 32536 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-17 | 327 Medcrest Drive, Unit A, CRESTVIEW, FL 32536 | - |
| REGISTERED AGENT NAME CHANGED | 2014-04-12 | Kate, Lops R | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-03-28 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-03-25 |
| ANNUAL REPORT | 2016-04-17 |
| ANNUAL REPORT | 2015-01-18 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
