| Entity Name: | SOUTH TITUSVILLE MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SOUTH TITUSVILLE MEDICAL CENTER, 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 Apr 1995 (30 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 13 Apr 2023 (2 years ago) |
| Document Number: | P95000029194 |
| FEI/EIN Number |
593313183
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7455 South US Highway 1, TITUSVILLE, FL, 32780, US |
| Mail Address: | 7455 South US Highway 1, TITUSVILLE, FL, 32780, US |
| ZIP code: | 32780 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821031683 | 2006-06-13 | 2014-10-22 | 7455 S US HIGHWAY 1, TITUSVILLE, FL, 327808115, US | 7455 S US HIGHWAY 1, TITUSVILLE, FL, 327808115, US | |||||||||||||||||||||||||
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| Phone | +1 321-264-2100 |
| Fax | 3212642485 |
Authorized person
| Name | MR. CHARLES A SLATTERY |
| Role | OWNER/CEO |
| Phone | 3212642100 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | ME0051997 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 062108100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SLATTERY CHARLES A | Director | 7455 South US Highway 1, TITUSVILLE, FL, 32780 |
| SLATTERY CHARLES A | Agent | 7455 South US Highway 1, TITUSVILLE, FL, 32780 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2023-04-13 | - | - |
| REINSTATEMENT | 2021-09-29 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| REINSTATEMENT | 2019-10-15 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| REINSTATEMENT | 2018-10-15 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-07 | 7455 South US Highway 1, TITUSVILLE, FL 32780 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-07 | 7455 South US Highway 1, TITUSVILLE, FL 32780 | - |
| CHANGE OF MAILING ADDRESS | 2015-01-07 | 7455 South US Highway 1, TITUSVILLE, FL 32780 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-09-24 |
| ANNUAL REPORT | 2023-07-12 |
| Amendment | 2023-04-13 |
| ANNUAL REPORT | 2022-03-01 |
| REINSTATEMENT | 2021-09-29 |
| ANNUAL REPORT | 2020-07-15 |
| REINSTATEMENT | 2019-10-15 |
| REINSTATEMENT | 2018-10-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-08 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 307495861 | 0420600 | 2004-03-18 | 4500 S. HOPKINS AVE, TITUSVILLE, FL, 32780 | |||||||||||||||||||||||||||||||||||||||||
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| Type | Complaint |
| Activity Nr | 204785240 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19101030 F03 |
| Issuance Date | 2004-06-28 |
| Abatement Due Date | 2004-07-01 |
| Current Penalty | 281.25 |
| Initial Penalty | 375.0 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 03 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
