| Entity Name: | SCARLETT KINLEY, D.P.M., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SCARLETT KINLEY, D.P.M., 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: | 27 Dec 1995 (29 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Sep 2017 (7 years ago) |
| Document Number: | P95000097939 |
| FEI/EIN Number |
593349532
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 321 LINCOLN AVENUE SOUTH, CLEARWATER, FL, 33756, US |
| Mail Address: | 321 LINCOLN AVENUE SOUTH, CLEARWATER, FL, 33756, US |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1528368727 | 2010-10-22 | 2016-09-27 | 321 S LINCOLN AVE, CLEARWATER, FL, 337565823, US | 321 S LINCOLN AVE, CLEARWATER, FL, 337565823, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-441-8640 |
| Fax | 7274418651 |
Authorized person
| Name | DR. SCARLETT A KINLEY |
| Role | PHYSICIAN / OWNER |
| Phone | 7274418640 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | PO2265 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO2265 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ES0131X - Foot Surgery Podiatrist |
| License Number | PO2265 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS GROUP |
| Number | 40055 |
| State | FL |
| Issuer | MEDICARE INDIVIDUAL |
| Number | 65290 |
| State | FL |
| Issuer | BCBS INDIVIDUAL |
| Number | 65290 |
| State | FL |
| Issuer | RR MEDICARE GROUP |
| Number | DS4489 |
| State | FL |
| Issuer | MEDICAID |
| Number | 390203000 |
| State | FL |
| Issuer | MEDICAL LICENSE |
| Number | PO2265 |
| State | FL |
| Issuer | RR MEDICARE INDIVIDUAL |
| Number | P01031287 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KINLEY SCARLETT | Director | 321 SOUTH LINCOLN AVENUE, CLEARWATER, FL, 33756 |
| ADAMS JOLYNN | Director | 321 SOUTH LINCOLN AVENUE, CLEARWATER, FL, 33756 |
| SCARLETT KINLEY D | Agent | 321 LINCOLN AVE SOUTH, CLEARWATER, FL, 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2017-09-30 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-09-30 | SCARLETT, KINLEY DPM | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF MAILING ADDRESS | 2009-01-22 | 321 LINCOLN AVENUE SOUTH, CLEARWATER, FL 33756 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-21 | 321 LINCOLN AVE SOUTH, CLEARWATER, FL 33756 | - |
| CHANGE OF PRINCIPAL ADDRESS | 1998-04-28 | 321 LINCOLN AVENUE SOUTH, CLEARWATER, FL 33756 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-01-16 |
| REINSTATEMENT | 2017-09-30 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-06-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5794348503 | 2021-03-01 | 0455 | PPS | 321 S Lincoln Ave, Clearwater, FL, 33756-5823 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6224087700 | 2020-05-01 | 0455 | PPP | 321 S LINCOLN AVE, CLEARWATER, FL, 33756-5823 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Mar 2025
Sources: Florida Department of State
