| Entity Name: | NORTH OKALOOSA CLINIC CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
NORTH OKALOOSA CLINIC CORP. 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: | 11 Oct 1996 (29 years ago) |
| Document Number: | P96000084185 |
| FEI/EIN Number |
582268349
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| Mail Address: | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972383354 | 2023-10-03 | 2024-07-11 | PO BOX 689022, FRANKLIN, TN, 370689022, US | 400 REDSTONE AVE W, CRESTVIEW, FL, 325368467, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 615-465-7269 |
| Phone | +1 850-683-1555 |
| Fax | 8506831556 |
Authorized person
| Name | KRISTINA MUSIC |
| Role | DIRECTOR, PROVIDER ENROLLMENT |
| Phone | 8778929815 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | No |
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 367A00000X - Advanced Practice Midwife |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Hammons Kevin J | Director | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Cobb Christopher G | Secretary | 4000 MERIDIAN BLVD., FRANLIN, TN, 37067 |
| Pitt Justin D | Director | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| Cash W. B | Director | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| Ottinger R. G | Treasurer | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000026100 | NORTH OKALOOSA PHYSICIAN GROUP - ORTHOPEDICS AND SPORTS MEDICINE | ACTIVE | 2024-02-16 | 2029-12-31 | - | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G24000026097 | NORTH OKALOOSA PHYSICIAN GROUP - VASCULAR SURGERY | ACTIVE | 2024-02-16 | 2029-12-31 | - | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G24000026094 | NORTH OKALOOSA PHYSICIAN GROUP - EAR, NOSE & THROAT | ACTIVE | 2024-02-16 | 2029-12-31 | - | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G24000025941 | NORTH OKALOOSA PHYSICIAN GROUP OB/GYN SPECIALISTS | ACTIVE | 2024-02-16 | 2029-12-31 | - | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G23000048504 | NORTH OKALOOSA PHYSICIAN GROUP | ACTIVE | 2023-04-17 | 2028-12-31 | - | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G20000098970 | NORTH OKALOOSA PHYSICIAN GROUP - SURGERY SPECIALISTS | ACTIVE | 2020-08-06 | 2025-12-31 | - | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G20000060744 | NORTH OKALOOSA PHYSICIAN GROUP - PRIMARY CARE | ACTIVE | 2020-06-01 | 2025-12-31 | - | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G16000133147 | NORTH OKALOOSA PHYSICIAN GROUP - UROLOGY | ACTIVE | 2016-12-12 | 2026-12-31 | - | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G16000099392 | NORTH OKALOOSA PHYSICIAN GROUP PEDIATRICS | EXPIRED | 2016-09-12 | 2021-12-31 | - | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G16000098567 | NORTH OKALOOSA PHYSICIAN GROUP-PULMONOLOGY | EXPIRED | 2016-09-09 | 2021-12-31 | - | 550 W. REDSTONE AVE., SUITE 490, CRESTVIEW, FL, 32536 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2007-10-01 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-10-01 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-12-06 | 4000 MERIDIAN BLVD., FRANKLIN, TN 37067 | - |
| CHANGE OF MAILING ADDRESS | 2006-12-06 | 4000 MERIDIAN BLVD., FRANKLIN, TN 37067 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-05-03 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
