| Entity Name: | NORTH FLORIDA FAMILY HEALTHCARE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Sep 2012 (12 years ago) |
| Document Number: | P12000079873 |
| FEI/EIN Number | 46-0996632 |
| Address: | 2916 Madison Street, MARIANNA, FL, 32446, US |
| Mail Address: | PO Box 835, CHIPLEY, FL, 32428, US |
| ZIP code: | 32446 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215275946 | 2013-01-31 | 2014-05-05 | PO BOX 835, CHIPLEY, FL, 324280835, US | 2916 MADISON ST, MARIANNA, FL, 324463450, US | |||||||||||||||
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| Phone | +1 850-372-4441 |
| Fax | 8503724443 |
Authorized person
| Name | VALDEE HARMON-SHEFFIELD |
| Role | OWNER |
| Phone | 8508671991 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH FLORIDA FAMILY HEALTHCARE | 2023 | 460996632 | 2024-09-27 | NORTH FLORIDA FAMILY HEALTHCARE | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-27 |
| Name of individual signing | VAL SHEFFIELD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8503724441 |
| Plan sponsor’s address | 2916 MADISON ST, MARIANA, FL, 32446 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-28 |
| Name of individual signing | VAL SHEFFIELD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HARMON-SHEFFIELD VAL DEE M | Agent | 2281 HARMON ROAD, CHIPLEY, FL, 32428 |
| Name | Role | Address |
|---|---|---|
| HARMON-SHEFFIELD VAL DEE M | Chief Executive Officer | 2281 HARMON ROAD, CHIPLEY, FL, 32428 |
| Name | Role | Address |
|---|---|---|
| SHEFFIELD EULESS S | Chief Operating Officer | 2281 HARMON ROAD, CHIPLEY, FL, 32428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-17 | 2916 Madison Street, MARIANNA, FL 32446 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-17 | 2916 Madison Street, MARIANNA, FL 32446 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-03-03 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-02-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
