| Entity Name: | AFC PHYSICIANS OF FLORIDA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
AFC PHYSICIANS OF FLORIDA, 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: |
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: | 19 Mar 2013 (12 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 Oct 2023 (2 years ago) |
| Document Number: | P13000025916 |
| FEI/EIN Number |
46-2403175
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3700 Cahaba Beach Road, Birmingham, AL, 35242, US |
| Mail Address: | 3700 Cahaba Beach Road, Birmingham, AL, 35242, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609549104 | 2021-07-29 | 2021-07-29 | 3700 CAHABA BEACH RD, BIRMINGHAM, AL, 352425225, US | 1394 JOHN SIMS PKWY E STE 101, NICEVILLE, FL, 325782208, US | |||||||||||||||||||||||||
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| Phone | +1 205-403-8902 |
| Fax | 2052715571 |
| Phone | +1 850-517-1920 |
| Fax | 8505171950 |
Authorized person
| Name | PATRICK DEVERELL BIANCHI |
| Role | OWNER |
| Phone | 9047516200 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108529500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| George Astin | Doct | 3700 Cahaba Beach Road, Birmingham, AL, 35242 |
| JOHANSEN RANDY | President | 3700 CAHABA BEACH RD, BIRMINGHAM, AL, 35242 |
| JOHANSEN RANDY | Chief Executive Officer | 3700 CAHABA BEACH RD, BIRMINGHAM, AL, 35242 |
| HAWLEY JOSEPH | Chief Financial Officer | 3700 CAHABA BEACH RD, BIRMINGHAM, AL, 35242 |
| HT AGENTS, LLC | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2023-10-18 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-05-17 | HT AGENTS, LLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-05-17 | 146 2ND N, STE 101, ST PETERBURG, FL 32801-3370 | - |
| REINSTATEMENT | 2017-12-12 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-06-05 | 3700 Cahaba Beach Road, Birmingham, AL 35242 | - |
| CHANGE OF MAILING ADDRESS | 2015-06-05 | 3700 Cahaba Beach Road, Birmingham, AL 35242 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-09-26 |
| Amendment | 2023-10-18 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-03-02 |
| Reg. Agent Change | 2019-05-17 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-01-11 |
| REINSTATEMENT | 2017-12-12 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
