| Entity Name: | NORTHEAST FLORIDA PSYCHIATRIC ASSOCIATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
NORTHEAST FLORIDA PSYCHIATRIC ASSOCIATION, 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: | 24 Jul 2013 (12 years ago) |
| Document Number: | P13000062283 |
| FEI/EIN Number |
463384281
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 804 Dunlawton Avenue, PORT ORANGE, FL, 32127, US |
| Mail Address: | 804 Dunlawton Avenue, PORT ORANGE, FL, 32127, US |
| ZIP code: | 32127 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558798405 | 2013-10-07 | 2014-04-10 | 790 DUNLAWTON AVE., SUITE J, PORT ORANGE, FL, 321274222, US | 790 DUNLAWTON AVE, SUITE J, PORT ORANGE, FL, 321274222, US | |||||||||||||||||||||||||
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| Phone | +1 386-767-8584 |
| Fax | 3867678536 |
Authorized person
| Name | DR. GARY W FRICK |
| Role | PROVIDER |
| Phone | 3867678584 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME73316 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 2526671-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FRICK ROSALYN | President | 804 Dunlawton Avenue, PORT ORANGE, FL, 32127 |
| FRICK ROSALYN | Secretary | 804 Dunlawton Avenue, PORT ORANGE, FL, 32127 |
| Friebis Daniel S | Agent | 3890 Turtle Creek Drive, Port Orange, FL, 32127 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-01-29 | Friebis, Daniel S | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-29 | 3890 Turtle Creek Drive, Suite B, Port Orange, FL 32127 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-30 | 804 Dunlawton Avenue, Unit 1, PORT ORANGE, FL 32127 | - |
| CHANGE OF MAILING ADDRESS | 2016-03-30 | 804 Dunlawton Avenue, Unit 1, PORT ORANGE, FL 32127 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-02-02 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-20 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-03-02 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
