| Entity Name: | 12TH AVENUE HEALTHCARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Jun 2016 (9 years ago) |
| Document Number: | P16000052075 |
| FEI/EIN Number | 81-3075503 |
| Address: | 2045 N 12TH AVE., PENSACOLA, FL, 32503, US |
| Mail Address: | 9735 N Palafox St, Pensacola, FL, 32534, US |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003528258 | 2022-12-20 | 2022-12-20 | 9735 N PALAFOX ST, PENSACOLA, FL, 325341224, US | 1101 OFFICE WOODS DR, PENSACOLA, FL, 325045937, US | |||||||||||||||
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| Phone | +1 850-776-7872 |
| Fax | 8504749060 |
Authorized person
| Name | EMILY STINNETT |
| Role | PRESIDENT |
| Phone | 8507767872 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAMMOND ADRIAN FJR | Agent | 9735 N PALAFOX ST, PENSACOLA, FL, 32534 |
| Name | Role | Address |
|---|---|---|
| STINNETT EMILY J | President | 2045 N 12TH AVE, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| STINNETT REBA | Vice President | 9735 n Palafox st, Pensacola, FL, 32534 |
| Name | Role | Address |
|---|---|---|
| Hammond Adrian JJr. | Secretary | 9735 N Palafox St, Pensacola, FL, 32534 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-09 | 2045 N 12TH AVE., PENSACOLA, FL 32503 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-09 | HAMMOND, ADRIAN Fulton, JR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-11-06 | 9735 N PALAFOX ST, PENSACOLA, FL 32534 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-08-31 |
| ANNUAL REPORT | 2020-04-13 |
| Reg. Agent Change | 2019-11-06 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| Domestic Profit | 2016-06-14 |
| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P3188920 | 12TH AVENUE HEALTHCARE INC. | 12TH AVENUE HEALTHCARE INC | VAVNPFUM7D77 | 2045 N 12TH AVE, PENSACOLA, FL, 32503-5302 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621399 |
| NAICS Code's Description | Offices of All Other Miscellaneous Health Practitioners |
| Small | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
