| Entity Name: | GULF COAST HOLISTIC AND PRIMARY CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
GULF COAST HOLISTIC AND PRIMARY CARE 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: |
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: | 06 May 2013 (12 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | P13000040250 |
| FEI/EIN Number |
46-2698118
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 219 FOREST PARK CIRCLE, PANAMA CITY, FL, 32405, US |
| Mail Address: | 219 FOREST PARK CIRCLE, 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 | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205240363 | 2014-06-17 | 2014-06-17 | 756 HARRISON AVE, PANAMA CITY, FL, 324012524, US | 756 HARRISON AVE, PANAMA CITY, FL, 324012524, US | |||||||||||||||||||||||||
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| Phone | +1 850-640-1530 |
| Fax | 8506401630 |
Authorized person
| Name | DR. RAQUEL SKIDMORE |
| Role | MEDICAL DIRECTOR |
| Phone | 8506401530 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ACN244 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006732100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SKIDMORE RAQUEL DR. | President | 219 FOREST PARK CIRCLE, PANAMA CITY, FL, 32405 |
| SKIDMORE RAQUEL Dr. | Agent | 219 FOREST PARK CIRCLE, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-05 | 219 FOREST PARK CIRCLE, PANAMA CITY, FL 32405 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-07 | 219 FOREST PARK CIRCLE, PANAMA CITY, FL 32405 | - |
| CHANGE OF MAILING ADDRESS | 2016-10-07 | 219 FOREST PARK CIRCLE, PANAMA CITY, FL 32405 | - |
| REGISTERED AGENT NAME CHANGED | 2016-04-28 | SKIDMORE, RAQUEL, Dr. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-28 |
| Off/Dir Resignation | 2015-04-24 |
| ANNUAL REPORT | 2015-03-24 |
| ANNUAL REPORT | 2014-02-14 |
| Domestic Profit | 2013-05-06 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
