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  5. NORTH FLORIDA PEDIATRICS, P.A.

NORTH FLORIDA PEDIATRICS, P.A. - Florida Company Profile

Company Details

Entity Name: NORTH FLORIDA PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

NORTH FLORIDA PEDIATRICS, 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: 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: 29 Nov 1995 (29 years ago)
Document Number: P95000090942
FEI/EIN Number 593349350

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025, US
Mail Address: 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025, US
ZIP code: 32025
County: Columbia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH FLORIDA PEDIATRICS, P.A. PROFIT SHARING AND 401(K) PLAN 2014 593349350 2015-10-09 NORTH FLORIDA PEDIATRICS, P.A. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867580003
Plan sponsor’s address 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing DR. SAMUEL SANTELICES
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA PEDIATRICS, P.A. PROFIT SHARING AND 401(K) PLAN 2013 593349350 2014-07-25 NORTH FLORIDA PEDIATRICS, P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867580003
Plan sponsor’s address 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing DR. SAMUEL SANTELICES
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA PEDIATRICS, P.A. PROFIT SHARING AND 401(K) PLAN 2012 593349350 2013-07-28 NORTH FLORIDA PEDIATRICS, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867580003
Plan sponsor’s address 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025

Plan administrator’s name and address
Administrator’s EIN 593349350
Plan administrator’s name NORTH FLORIDA PEDIATRICS, P.A.
Plan administrator’s address 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025
Administrator’s telephone number 3867580003

Signature of
Role Plan administrator
Date 2013-07-28
Name of individual signing DR. SAMUEL SANTELICES
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA PEDIATRICS, P.A. PROFIT SHARING AND 401(K) PLAN 2011 593349350 2012-10-15 NORTH FLORIDA PEDIATRICS, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867580003
Plan sponsor’s address 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025

Plan administrator’s name and address
Administrator’s EIN 593349350
Plan administrator’s name NORTH FLORIDA PEDIATRICS, P.A.
Plan administrator’s address 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025
Administrator’s telephone number 3867580003

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DR. SAMUEL SANTELICES
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA PEDIATRICS, P.A. PROFIT SHARING AND 401(K) PLAN 2010 593349350 2011-10-17 NORTH FLORIDA PEDIATRICS, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867580003
Plan sponsor’s address 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025

Plan administrator’s name and address
Administrator’s EIN 593349350
Plan administrator’s name NORTH FLORIDA PEDIATRICS, P.A.
Plan administrator’s address 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025
Administrator’s telephone number 3867580003

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing DR. SAMUEL SANTELICES
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA PEDIATRICS, P.A. PROFIT SHARING AND 401(K) PLAN 2010 593349350 2011-10-14 NORTH FLORIDA PEDIATRICS, P.A. 26
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867580003
Plan sponsor’s address 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025

Plan administrator’s name and address
Administrator’s EIN 593349350
Plan administrator’s name NORTH FLORIDA PEDIATRICS, P.A.
Plan administrator’s address 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025
Administrator’s telephone number 3867580003

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing DR. SAMUEL SANTELICES
Valid signature Filed with incorrect/unrecognized electronic signature
NORTH FLORIDA PEDIATRICS, P.A. PROFIT SHARING AND 401(K) PLAN 2009 593349350 2010-08-02 NORTH FLORIDA PEDIATRICS, P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3523736362
Plan sponsor’s address 7205 N.W. 47TH COURT, GAINESVILLE, FL, 32606

Plan administrator’s name and address
Administrator’s EIN 593349350
Plan administrator’s name NORTH FLORIDA PEDIATRICS, P.A.
Plan administrator’s address 7205 N.W. 47TH COURT, GAINESVILLE, FL, 32606
Administrator’s telephone number 3523736362

Signature of
Role Plan administrator
Date 2010-08-02
Name of individual signing FREDERICK THOMAS WEBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-02
Name of individual signing FREDERICK THOMAS WEBER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SANTELICES SAMUEL M President 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025
SANTELICES SAMUEL M Secretary 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025
SANTELICES SAMUEL M Director 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025
Santelices Samuel Dr. Agent 1859 SW NEWLAND WAY, LAKE CITY, FL, 32025

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2016-01-25 Santelices, Samuel, Dr. -
REGISTERED AGENT ADDRESS CHANGED 2011-01-25 1859 SW NEWLAND WAY, LAKE CITY, FL 32025 -
CHANGE OF MAILING ADDRESS 2010-02-19 1859 SW NEWLAND WAY, LAKE CITY, FL 32025 -
CHANGE OF PRINCIPAL ADDRESS 2002-03-07 1859 SW NEWLAND WAY, LAKE CITY, FL 32025 -

Documents

Name Date
ANNUAL REPORT 2025-01-13
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-12
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-06
ANNUAL REPORT 2019-01-07
ANNUAL REPORT 2018-02-28
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-01-25

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1859 SW NEWLAND WAY, LAKE CITY, FL, 32025, US

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1859 SW NEWLAND WAY, LAKE CITY, FL, 32025, US

SJS EQUIPMENT, LLC SVS BILLING SOLUTIONS, LLC NORTH FLORIDA PEDIATRICS JACKSONVILLE, PA

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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