| Entity Name: | FLAGLER FAMILY MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FLAGLER FAMILY MEDICINE, 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: | 02 Feb 1996 (29 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 27 Oct 2015 (9 years ago) |
| Document Number: | P96000011755 |
| FEI/EIN Number |
593423198
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 130 HEALTH PARK BLVD., ST AUGUSTINE, FL, 32086, US |
| Mail Address: | 130 HEALTH PARK BLVD., ST AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538646757 | 2018-07-20 | 2018-07-20 | 130 HEALTH PARK BLVD, ST AUGUSTINE, FL, 320865776, US | 52 TUSCAN WAY STE 205, ST AUGUSTINE, FL, 320921850, US | |||||||||||||||||||
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| Phone | +1 904-826-3469 |
Authorized person
| Name | WARREN WHITLOCK |
| Role | AUTHORIZED OFFICIAL / PARTNER |
| Phone | 9048263469 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 252488100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CLONCH LINDA S | Officer | 130 HEALTH PARK BLVD, ST AUGUSTINE, FL, 32086 |
| ZUB CHRISTOPHER J | Vice President | 130 HEALTH PARK BLVD., ST. AUGUSTINE, FL, 32086 |
| LOOK MICHAEL J | President | 130 HEALTH PARK BLVD., ST AUGUSTINE, FL, 32086 |
| SANCHEZ CARLOS M | Secretary | 130 HEALTH PARK BLVD., ST AUGUSTINE, FL, 32086 |
| Jguenti Milena | Officer | 130 HEALTH PARK BLVD., ST AUGUSTINE, FL, 32086 |
| Calain Jodie S | Treasurer | 130 HEALTH PARK BLVD., ST AUGUSTINE, FL, 32086 |
| Look Michael | Agent | 130 HEALTH PARK BLVD, ST AUGUSTINE, FL, 32086 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000083327 | FLAGLER FAMILY MEDICINE AND WELLNESS | EXPIRED | 2014-08-13 | 2024-12-31 | - | 130 HEALTH PARK BLVD, ST AUGUSTINE, FL, 32086 |
| G14000014281 | LIGHTHOUSE MEDICAL ASSOCIATES | EXPIRED | 2014-02-10 | 2024-12-31 | - | 130 HEALTH PARK BLVD, SAINT AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-02-01 | Look, Michael | - |
| AMENDMENT | 2015-10-27 | - | - |
| CHANGE OF MAILING ADDRESS | 2008-03-13 | 130 HEALTH PARK BLVD., ST AUGUSTINE, FL 32086 | - |
| CHANGE OF PRINCIPAL ADDRESS | 1998-01-23 | 130 HEALTH PARK BLVD., ST AUGUSTINE, FL 32086 | - |
| REGISTERED AGENT ADDRESS CHANGED | 1998-01-23 | 130 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-01-03 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-05-04 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
