| Entity Name: | EMERALD COAST OBSTETRICS & GYNECOLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
EMERALD COAST OBSTETRICS & GYNECOLOGY, P.A. 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: | 04 Aug 2010 (15 years ago) |
| Date of dissolution: | 03 Mar 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Mar 2023 (2 years ago) |
| Document Number: | P10000064181 |
| FEI/EIN Number |
273206586
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 103 EAST 23RD ST, PANAMA CITY, FL, 32405, US |
| Mail Address: | 103 EAST 23RD ST, PANAMA CITY, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427364405 | 2010-08-27 | 2011-07-21 | 103 E 23RD ST, PANAMA CITY, FL, 324054501, US | 103 E 23RD ST, PANAMA CITY, FL, 324054501, US | |||||||||||||||||||||
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| Phone | +1 850-769-0338 |
| Fax | 8507856088 |
Authorized person
| Name | MR. ROBERT GARY COX |
| Role | OFFICE ADMINISTRATOR |
| Phone | 8507690338 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002699900 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMERALD COAST OBSTETRICS & GYNECOLOGY, P.A. PROFIT SHARING PLAN | 2012 | 273206586 | 2013-03-22 | EMERALD COAST OBSTETRICS & GYNECOLOGY, P.A. | 52 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 273206586 |
| Plan administrator’s name | EMERALD COAST OBSTETRICS & GYNECOLOGY, P.A. |
| Plan administrator’s address | 103 E. 23RD STREET, PANAMA CITY, FL, 32405 |
| Administrator’s telephone number | 8507690338 |
Signature of
| Role | Plan administrator |
| Date | 2013-03-22 |
| Name of individual signing | MICHAEL A INGRAM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1994-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8507690338 |
| Plan sponsor’s address | 103 E. 23RD STREET, PANAMA CITY, FL, 32405 |
Plan administrator’s name and address
| Administrator’s EIN | 273206586 |
| Plan administrator’s name | EMERALD COAST OBSTETRICS & GYNECOLOGY, P.A. |
| Plan administrator’s address | 103 E. 23RD STREET, PANAMA CITY, FL, 32405 |
| Administrator’s telephone number | 8507690338 |
Signature of
| Role | Plan administrator |
| Date | 2013-12-13 |
| Name of individual signing | MICHAEL A INGRAM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 1994-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8507690338 |
| Plan sponsor’s address | 103 E. 23RD STREET, PANAMA CITY, FL, 32405 |
Plan administrator’s name and address
| Administrator’s EIN | 273206586 |
| Plan administrator’s name | EMERALD COAST OBSTETRICS & GYNECOLOGY, P.A. |
| Plan administrator’s address | 103 E. 23RD STREET, PANAMA CITY, FL, 32405 |
| Administrator’s telephone number | 8507690338 |
Signature of
| Role | Plan administrator |
| Date | 2012-03-26 |
| Name of individual signing | MICHAEL A INGRAM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BRELAND HENRY B | President | 103 EAST 23RD ST, PANAMA CITY, FL, 32405 |
| RAMIE GEORGE B | Vice President | 103 EAST 23RD ST, PANAMA CITY, FL, 32405 |
| BRELAND HENRY B | Treasurer | 103 EAST 23RD ST, PANAMA CITY, FL, 32405 |
| WOLF SAMUEL B | Secretary | 103 EAST 23RD ST, PANAMA CITY, FL, 32405 |
| PENNINGTON TONI L | Shar | 103 EAST 23RD ST, PANAMA CITY, FL, 32405 |
| BAIN KIMBERLY B | Shar | 103 EAST 23RD ST, PANAMA CITY, FL, 32405 |
| BRELAND HENRY B | Agent | 103 EAST 23RD ST, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-03 | - | - |
| REGISTERED AGENT NAME CHANGED | 2020-03-18 | BRELAND, HENRY B | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-15 | 103 EAST 23RD ST, PANAMA CITY, FL 32405 | - |
| CHANGE OF MAILING ADDRESS | 2012-02-15 | 103 EAST 23RD ST, PANAMA CITY, FL 32405 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-15 | 103 EAST 23RD ST, PANAMA CITY, FL 32405 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-03 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-01-29 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-20 |
| ANNUAL REPORT | 2016-01-27 |
| AMENDED ANNUAL REPORT | 2015-09-10 |
| ANNUAL REPORT | 2015-01-26 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
