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RURAL PRIMARY CARE SOUTH-WALTON, INC - Florida Company Profile

Company Details

Entity Name: RURAL PRIMARY CARE SOUTH-WALTON, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

RURAL PRIMARY CARE SOUTH-WALTON, 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: 12 Dec 2019 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 07 Nov 2020 (4 years ago)
Document Number: P19000091652
FEI/EIN Number 84-3984960

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

Address: 5551 HWY 98 STE 2, SANTA ROSA BEACH, FL, 32459
Mail Address: 5551 HWY 98 STE 2, SANTA ROSA BEACH, FL, 32459
ZIP code: 32459
County: Walton
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912545955 2019-12-19 2022-02-04 5551 US HIGHWAY 98, SUITE 2, SANTA ROSA BEACH, FL, 32459, US 5551 US HIGHWAY 98, SUITE 2, SANTA ROSA BEACH, FL, 32459, US

Contacts

Phone +1 850-420-5420
Fax 8502448011

Authorized person

Name AMANDA PATTON
Role PRACTICE MANAGER
Phone 8504205420

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 208D00000X - General Practice Physician
Is Primary No
Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 110818301
State FL

Key Officers & Management

Name Role Address
PATTON MICHAEL Director 328 HIGHLAND VIEW DR, BIRMINGHAM, AL, 35242
PATTON AMANDA Director 328 HIGHLAND VIEW DR, BIRMINGHAM, AL, 35242
LINNED WILLIAM V Agent 5551 HWY 98 STE 2, SANTA ROSA BEACH, FL, 32459

Events

Event Type Filed Date Value Description
REINSTATEMENT 2020-11-07 - -
REGISTERED AGENT NAME CHANGED 2020-11-07 LINNED, WILLIAM V -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -

Documents

Name Date
ANNUAL REPORT 2024-04-06
ANNUAL REPORT 2023-01-30
AMENDED ANNUAL REPORT 2022-04-14
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-02-04
REINSTATEMENT 2020-11-07
Domestic Profit 2019-12-12

Date of last update: 01 Apr 2025

Sources: Florida Department of State