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FLORIDA PRIMARY CARE AND SPORTS MEDICINE, INC. - Florida Company Profile

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Company Details

Entity Name: FLORIDA PRIMARY CARE AND SPORTS MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FLORIDA PRIMARY CARE AND SPORTS MEDICINE, 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: 08 Aug 2019 (6 years ago)
Document Number: P19000063860
FEI/EIN Number 84-2753397

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6 OFFICE PARK DRIVE, PALM COAST, FL, 32137
Mail Address: 6 OFFICE PARK DRIVE, PALM COAST, FL, 32137
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHAW DUDLEY A Secretary 3580 OCEANSIDE BLVD. #807, FLAGLER BEACH, FL, 32136
BOGDANOWICZ BRIAN T President 17 FOXHUNTER FLAT, ORMOND BEACH, FL, 32174
BUTLER DAVID W Vice President 668 LAKE ASBURY DRIVE, GREEN COVE SPRINGS, FL, 32043
SHAW ANN Agent 6 OFFICE PARK DRIVE, PALM COAST, FL, 32137

National Provider Identifier

NPI Number:
1548819741
Certification Date:
2019-12-10

Authorized Person:

Name:
ANN SHAW
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3864471266
Fax:
3863131923

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-02-22
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-03-01
ANNUAL REPORT 2020-03-06
Domestic Profit 2019-08-08

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-27
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:
14540.00
Total Face Value Of Loan:
14540.00

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Date of last update: 01 Jun 2025

Sources: Florida Department of State