| Entity Name: | PAXTON MEDICAL MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PAXTON MEDICAL MANAGEMENT, 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: | 13 Jul 2017 (8 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 04 Nov 2019 (5 years ago) |
| Document Number: | P17000059983 |
| FEI/EIN Number |
84-2653866
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8050 Seminole Blvd, Ste A, Seminole, FL, 33772, US |
| Mail Address: | 8050 Seminole Blvd, Ste A, Seminole, FL, 33772, US |
| ZIP code: | 33772 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588400691 | 2024-07-08 | 2024-07-08 | 1615 SUN CITY CENTER PLZ, SUN CITY CENTER, FL, 335735303, US | 1615 SUN CITY CENTER PLZ, SUN CITY CENTER, FL, 335735303, US | |||||||||||||
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| Phone | +1 813-894-7046 |
Authorized person
| Name | JEFFREY SCOTT GROVE |
| Role | OWNER |
| Phone | 7275889572 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAXTON MEDICAL MANAGEMENT, INC. 401(K) PLAN | 2023 | 842653866 | 2024-05-16 | PAXTON MEDICAL MANAGEMENT, INC. | 11 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-16 |
| Name of individual signing | KIMBERLY GROVE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7272752005 |
| Plan sponsor’s address | 8050 SEMINOLE BLVD., SUITE A, SEMINOLE, FL, 33772 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-14 |
| Name of individual signing | KIMBERLY GROVE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7272752005 |
| Plan sponsor’s address | 8050 SEMINOLE BLVD., SUITE A, SEMINOLE, FL, 33772 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-12 |
| Name of individual signing | TERI MEREDITH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7272752005 |
| Plan sponsor’s address | 8050 SEMINOLE BLVD., SUITE A, SEMINOLE, FL, 33772 |
| Name | Role | Address |
|---|---|---|
| Grove Jeffrey SD.O. | Director | 8050 Seminole Blvd, Seminole, FL, 33772 |
| TVEDTEN TYRONE D.O. | Director | 8050 Seminole Blvd, Seminole, FL, 33772 |
| DIBETTA EUGENE D.O. | Director | 8050 Seminole Blvd, Seminole, FL, 33772 |
| GROVE JOHN TD.O. | Director | 8050 Seminole Blvd, Seminole, FL, 33772 |
| DIBETTA MICHELLE M.D. | Director | 8050 Seminole Blvd, Seminole, FL, 33772 |
| CLARK ANDREW SD.O. | Director | 8050 Seminole Blvd, Seminole, FL, 33772 |
| GROVE JOHN | Agent | 8050 Seminole Blvd, Seminole, FL, 33772 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000057648 | SUN CITY SENIOR CARE | ACTIVE | 2024-05-01 | 2029-12-31 | - | 1615 SUN CITY CENTER PLAZA, SUN CITY CENTER, FL, 33573 |
| G20000089357 | FAMILY DOCTORS OF NORTH PORT | ACTIVE | 2020-07-27 | 2030-12-31 | - | PAXTON MEDICAL MANAGEMENT, 8050 SEMINOLE BLVD., SEMINOLE, FL, 33702 |
| G20000089372 | FAMILY DOCTORS OF ENGLEWOOD | ACTIVE | 2020-07-27 | 2030-12-31 | - | 8050 SEMINOLE BLVD, SEMINOLE, FL, 33772 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-07 | 8050 Seminole Blvd, Suite A, Seminole, FL 33772 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-29 | 8050 Seminole Blvd, Ste A, Seminole, FL 33772 | - |
| CHANGE OF MAILING ADDRESS | 2020-06-29 | 8050 Seminole Blvd, Ste A, Seminole, FL 33772 | - |
| AMENDMENT | 2019-11-04 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-10-17 | GROVE, JOHN | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-06-29 |
| Amendment | 2019-11-04 |
| Reg. Agent Change | 2019-10-17 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-16 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
