| Entity Name: | THE DOCTORS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Nov 1992 (32 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 29 Sep 2016 (8 years ago) |
| Document Number: | P92000007701 |
| FEI/EIN Number | 59-2917285 |
| Address: | 9857 OLD ST. AUGUSTINE ROAD, JACKSONVILLE, FL 32257 |
| Mail Address: | 9857 OLD ST. AUGUSTINE ROAD, JACKSONVILLE, FL 32257 |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053366880 | 2006-05-23 | 2024-09-20 | 9857 OLD SAINT AUGUSTINE RD STE 1, JACKSONVILLE, FL, 322578821, US | 9857 OLD SAINT AUGUSTINE RD STE 1, JACKSONVILLE, FL, 322578821, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 904-861-1900 |
| Fax | 9042929684 |
Authorized person
| Name | DAVID ROMANELLO |
| Role | COO |
| Phone | 3524593661 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1018488 |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 39739 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PANDEY, AMIT K | Agent | 106 PARK PLACE BLVD, SUITE B, DAVENPORT, FL 33837 |
| Name | Role | Address |
|---|---|---|
| PANDEY, AMIT K | MANAGER | 9857 OLD ST. AUGUSTINE RD, JACKSONVILLE, FL 32257 |
| ROMANELLO, DAVID J | MANAGER | 9857 OLD ST. AUGUSTINE RD, JACKSONVILLE, FL 32257 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000092863 | NEIGHBORMD | ACTIVE | 2023-08-09 | 2028-12-31 | No data | 9857 OLD ST. AUGUSTINE RD., JACKSONVILLE, FL, 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-09-18 | 9857 OLD ST. AUGUSTINE ROAD, JACKSONVILLE, FL 32257 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-07-24 | 106 PARK PLACE BLVD, SUITE B, DAVENPORT, FL 33837 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-07-24 | PANDEY, AMIT K | No data |
| NAME CHANGE AMENDMENT | 2016-09-29 | THE DOCTORS CENTER, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-30 | 9857 OLD ST. AUGUSTINE ROAD, JACKSONVILLE, FL 32257 | No data |
| AMENDMENT | 2000-10-12 | No data | No data |
| REINSTATEMENT | 1997-04-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
| REINSTATEMENT | 1993-12-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1993-08-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| AMENDED ANNUAL REPORT | 2023-07-24 |
| ANNUAL REPORT | 2023-02-27 |
| AMENDED ANNUAL REPORT | 2022-07-25 |
| ANNUAL REPORT | 2022-04-05 |
| Reg. Agent Change | 2022-03-15 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-05-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
