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FIRST COAST PSYCHIATRIC SERVICES, P.A. - Florida Company Profile

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Company Details

Entity Name: FIRST COAST PSYCHIATRIC SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Jul 2014 (11 years ago)
Document Number: P14000061103
FEI/EIN Number 47-1480643
Address: First Coast Psychiatric Services, P.A., 1543 Kingsley Ave, Orange Park, FL, 32073, US
Mail Address: First Coast Psychiatric Services, P.A., 1543 Kingsley Ave, Orange Park, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KHOKHAR UBAID President First Coast Psychiatric Services, P.A., Orange Park, FL, 32073
KHOKHAR UBAID Agent First Coast Psychiatric Services, P.A., Orange Park, FL, 32073

National Provider Identifier

NPI Number:
1104222801
Certification Date:
2022-01-28

Authorized Person:

Name:
HEATHER EDWARDS
Role:
CREDENTIALING COORDINATOR
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
9042690870

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-21 First Coast Psychiatric Services, P.A., 1543 Kingsley Ave, Ste 14, Orange Park, FL 32073 -
CHANGE OF MAILING ADDRESS 2020-01-21 First Coast Psychiatric Services, P.A., 1543 Kingsley Ave, Ste 14, Orange Park, FL 32073 -
REGISTERED AGENT ADDRESS CHANGED 2020-01-21 First Coast Psychiatric Services, P.A., 1543 Kingsley Ave, Ste 14, Orange Park, FL 32073 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-03-16
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-02-24
ANNUAL REPORT 2017-01-14
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-12

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
42239.00
Total Face Value Of Loan:
42239.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$42,239
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$42,239
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$42,618.57
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $42,239

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Date of last update: 02 Aug 2025

Sources: Florida Department of State