| Entity Name: | JACKSONVILLE PSYCHIATRIC ASSOCIATION INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JACKSONVILLE 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: | 31 Jul 2013 (12 years ago) |
| Document Number: | P13000063931 |
| FEI/EIN Number |
46-3335958
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10175 FORTUNE PARKWAY, SUITE 206, JACKSONVILLE, FL, 32256, US |
| Mail Address: | 10175 FORTUNE PARKWAY, SUITE 206, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205261765 | 2013-09-03 | 2014-11-07 | 10175 FORTUNE PKWY, SUITE 104, JACKSONVILLE, FL, 322566746, US | 10175 FORTUNE PKWY, SUITE 104, JACKSONVILLE, FL, 322566746, US | |||||||||||||||||||||||
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| Phone | +1 973-901-0394 |
| Fax | 9412052422 |
| Phone | +1 904-379-8748 |
| Fax | 9043798796 |
Authorized person
| Name | IMTIAZ RASUL |
| Role | OWNER |
| Phone | 9739010394 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME112178 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RASUL IMTIAZ | Director | 10175 FORTUNE PARKWAY, SUITE 206, JACKSONVILLE, FL, 32256 |
| RASUL IMTIAZ | President | 10175 FORTUNE PARKWAY, SUITE 206, JACKSONVILLE, FL, 32256 |
| RASUL IMTIAZ | Treasurer | 10175 FORTUNE PARKWAY, SUITE 206, JACKSONVILLE, FL, 32256 |
| RASUL RABIA | Director | 10175 FORTUNE PARKWAY, SUITE 206, JACKSONVILLE, FL, 32256 |
| RASUL RABIA | Secretary | 10175 FORTUNE PARKWAY, SUITE 206, JACKSONVILLE, FL, 32256 |
| RASUL IMTIAZ | Agent | 10175 FORTUNE PARKWAY, SUITE 206, JACKSONVILLE, FL, 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000079716 | IMTIAZ RASUL MD | EXPIRED | 2013-08-10 | 2018-12-31 | - | 9920 NW 44TH TER, APT 201, DORAL, FL, 33178 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-09 | 10175 FORTUNE PARKWAY, SUITE 206, JACKSONVILLE, FL 32256 | - |
| CHANGE OF MAILING ADDRESS | 2018-01-09 | 10175 FORTUNE PARKWAY, SUITE 206, JACKSONVILLE, FL 32256 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-09 | 10175 FORTUNE PARKWAY, SUITE 206, JACKSONVILLE, FL 32256 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-03-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5264578701 | 2021-04-02 | 0491 | PPS | 10175 Fortune Pkwy Unit 206, Jacksonville, FL, 32256-6748 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2573687703 | 2020-05-01 | 0491 | PPP | 10175 FORTUNE PKWY UNIT 206, JACKSONVILLE, FL, 32256 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
