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SHORELINE MEDICAL GROUP, P.A. - Florida Company Profile

Company Details

Entity Name: SHORELINE MEDICAL GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SHORELINE MEDICAL GROUP, P.A. 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 05 May 1995 (30 years ago)
Date of dissolution: 02 Apr 2019 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 02 Apr 2019 (6 years ago)
Document Number: P95000035256
FEI/EIN Number 593312087

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

Address: 419 BALTZELL AVE, PORT ST JOE, FL, 32456, US
Mail Address: 419 BALTZELL AVE, PORT ST JOE, FL, 32456, US
ZIP code: 32456
County: Gulf
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427160571 2006-08-31 2018-12-19 419 BALTZELL AVE, PORT ST JOE, FL, 324561864, US 419 BALTZELL AVE, PORT ST JOE, FL, 32456, US

Contacts

Phone +1 850-229-8010
Fax 8502273177

Authorized person

Name DR. THOMAS L CURRY
Role PRESIDENT
Phone 8502298010

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 207RN0300X - Nephrology Physician
Is Primary Yes
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary No
Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary No

Other Provider Identifiers

Issuer MEDICAID RHC
Number 377827401
State FL
Issuer MEDICARE RHC
Number 10-3887
Issuer MEDICAID
Number 377827400
State FL

Key Officers & Management

Name Role Address
CURRY THOMAS L Director 7192 WINDWARD ST, PORT ST JOE, FL, 32456
CURRY ELIZABETH F Director 7192 WINDWARD ST, PORT ST JOE, FL, 32456
CURRY THOMAS L Agent 419 BALTZELL AVE, PORT ST JOE, FL, 32456

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-04-02 - -
CHANGE OF MAILING ADDRESS 2000-04-18 419 BALTZELL AVE, PORT ST JOE, FL 32456 -
CHANGE OF PRINCIPAL ADDRESS 1998-03-19 419 BALTZELL AVE, PORT ST JOE, FL 32456 -
REGISTERED AGENT ADDRESS CHANGED 1998-03-19 419 BALTZELL AVE, PORT ST JOE, FL 32456 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-04-02
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-04-06
ANNUAL REPORT 2015-04-14
ANNUAL REPORT 2014-04-25
ANNUAL REPORT 2013-04-17
ANNUAL REPORT 2012-02-26
ANNUAL REPORT 2011-03-31
ANNUAL REPORT 2010-04-04

Date of last update: 02 Apr 2025

Sources: Florida Department of State