Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Pinellas
    4. ›
  4. 33778
    5. ›
  5. SUNCOAST FAMILY MEDICAL ASSOCIATES, INC.

SUNCOAST FAMILY MEDICAL ASSOCIATES, INC. - Florida Company Profile

Company Details

Entity Name: SUNCOAST FAMILY MEDICAL ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SUNCOAST FAMILY MEDICAL ASSOCIATES, INC. 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: 31 Dec 1996 (28 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 04 Oct 2016 (9 years ago)
Document Number: P97000001322
FEI/EIN Number 593419569

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 12020 SEMINOLE BLVD, LARGO, FL, 33778
Mail Address: 12020 SEMINOLE BLVD, LARGO, FL, 33778
ZIP code: 33778
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811981178 2005-09-01 2013-01-24 12020 SEMINOLE BLVD, LARGO, FL, 337782805, US 12020 SEMINOLE BLVD, LARGO, FL, 337782805, US

Contacts
Phone +1 727-588-9572
Fax 7275843832

Authorized person
Name JEFFREY S GROVE
Role PRESIDENT
Phone 7275889572

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number CH5247
State FL
Is Primary No
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number OS6098
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS
Number 21242A
State FL
Issuer HUMANA
Number 120374
Issuer MEDICAID
Number 252202100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNCOAST FAMILY MEDICAL ASSOCIATES 401(K) TRUST 2023 593419569 2024-06-24 SUNCOAST FAMILY MEDICAL ASSOCIATES 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7275889572
Plan sponsor’s address 12020 SEMINOLE BLVD., LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2024-06-24
Name of individual signing MATTHEW WARTICKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-24
Name of individual signing MATTHEW WARTICKI
Valid signature Filed with authorized/valid electronic signature
SUNCOAST FAMILY MEDICAL ASSOCIATES 401(K) TRUST 2022 593419569 2023-09-28 SUNCOAST FAMILY MEDICAL ASSOCIATES 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7275889572
Plan sponsor’s address 12020 SEMINOLE BLVD., LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2023-09-28
Name of individual signing MATTHEW WARTICKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-28
Name of individual signing MATTHEW WARTICKI
Valid signature Filed with authorized/valid electronic signature
SUNCOAST FAMILY MEDICAL ASSOCIATES 401(K) TRUST 2021 593419569 2022-10-09 SUNCOAST FAMILY MEDICAL ASSOCIATES 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7275889572
Plan sponsor’s address 12020 SEMINOLE BLVD., LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2022-10-09
Name of individual signing TERI MEREDITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-09
Name of individual signing TERI MEREDITH
Valid signature Filed with authorized/valid electronic signature
SUNCOAST FAMILY MEDICAL ASSOCIATES 401(K) TRUST 2020 593419569 2021-09-03 SUNCOAST FAMILY MEDICAL ASSOCIATES 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7275889572
Plan sponsor’s address 12020 SEMINOLE BLVD., LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2021-09-03
Name of individual signing JEFFREY S GROVE D.O.
Valid signature Filed with authorized/valid electronic signature
SUNCOAST FAMILY MEDICAL ASSOCIATES 401(K) TRUST 2019 593419569 2020-07-08 SUNCOAST FAMILY MEDICAL ASSOCIATES 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7275889572
Plan sponsor’s address 12020 SEMINOLE BLVD., LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing JEFFREY S GROVE D.O.
Valid signature Filed with authorized/valid electronic signature
SUNCOAST FAMILY MEDICAL ASSOCIATES 401(K) TRUST 2018 593419569 2019-07-24 SUNCOAST FAMILY MEDICAL ASSOCIATES 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7275889572
Plan sponsor’s address 12020 SEMINOLE BLVD., LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing JEFFREY S GROVE D.O.
Valid signature Filed with authorized/valid electronic signature
SUNCOAST FAMILY MEDICAL ASSOCIATES 401(K) TRUST 2017 593419569 2018-09-04 SUNCOAST FAMILY MEDICAL ASSOCIATES 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7275889572
Plan sponsor’s address 12020 SEMINOLE BLVD., LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2018-09-04
Name of individual signing JEFFREY S GROVE D.O.
Valid signature Filed with authorized/valid electronic signature
SUNCOAST FAMILY MEDICAL ASSOCIATES 401(K) TRUST 2016 593419569 2017-07-11 SUNCOAST FAMILY MEDICAL ASSOCIATES 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7275889572
Plan sponsor’s address 12020 SEMINOLE BLVD., LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing JEFFREY S GROVE D.O.
Valid signature Filed with authorized/valid electronic signature
SUNCOAST FAMILY MEDICAL ASSOCIATES 401(K) TRUST 2015 593419569 2016-07-13 SUNCOAST FAMILY MEDICAL ASSOCIATES 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7275889572
Plan sponsor’s address 12020 SEMINOLE BLVD., LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2016-07-13
Name of individual signing JEFFREY S GROVE D.O.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
GROVE JEFFREY S President 12020 SEMINOLE BLVD, LARGO, FL, 33778
TVEDTEN TY L Vice President 12020 SEMINOLE BLVD, LARGO, FL, 33778
TVEDTEN TY L Secretary 12020 SEMINOLE BLVD, LARGO, FL, 33778
Grove John Agent 8050 Seminole Blvd, Seminole, FL, 33772

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-01-27 Grove, John -
REGISTERED AGENT ADDRESS CHANGED 2022-01-27 8050 Seminole Blvd, Suite A, Seminole, FL 33772 -
REINSTATEMENT 2016-10-04 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2010-02-26 12020 SEMINOLE BLVD, LARGO, FL 33778 -
CHANGE OF MAILING ADDRESS 2010-02-26 12020 SEMINOLE BLVD, LARGO, FL 33778 -

Documents

Name Date
ANNUAL REPORT 2025-01-31
ANNUAL REPORT 2024-01-18
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-03-09
ANNUAL REPORT 2020-05-21
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-02-01
ANNUAL REPORT 2017-01-13
REINSTATEMENT 2016-10-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9963847210 2020-04-28 0455 PPP 12020 Seminole Blvd,, Largo, FL, 33778
Loan Status Date 2020-12-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1173900
Loan Approval Amount (current) 410000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Largo, PINELLAS, FL, 33778-0001
Project Congressional District FL-13
Number of Employees 35
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 412246.58
Forgiveness Paid Date 2020-11-23

Companies related by officers

GROVE JEFFREY S

OSTEOPATHIC HERITAGE CORPORATION - Inactive
Domestic Profit (2002 - 2006)
OSTEOPATHIC HERITAGE PROFESSIONAL ASSOCIATION - Active
Domestic Profit (2008 )
OSTEOPATHIC HERITAGE PROFESSIONAL ASSOCIATION - Active
Domestic Profit (2008 )
OSTEOPATHIC HERITAGE PROFESSIONAL ASSOCIATION - Active
Domestic Profit (2008 )
CADUCEUS PRODUCTIONS LLC - Inactive
Florida Limited Liability Co. (2015 - 2019)
OSTEOPATHIC HERITAGE GROUP, LLC - Inactive
Florida Limited Liability Co. (2004 - 2009)
OSTEOPATHIC HERITAGE GROUP, LLC - Inactive
Florida Limited Liability Co. (2004 - 2009)
1ST AMERICAN FAMILY MEDICAL ASSOCIATES, LLC - Inactive
Florida Limited Liability Co. (2009 - 2014)
BRIAN J. BIXLER, M.D., P.L. - Inactive
Florida Limited Liability Co. (2007 - 2015)
BRIAN J. BIXLER, M.D., P.L. - Inactive
Florida Limited Liability Co. (2007 - 2015)

TVEDTEN TY L

TY L. TVEDTEN, D.O., P.A. - Inactive
Domestic Profit (1998 - 1999)

Grove John

ESTERO BEACH 402 LLC - Inactive
Florida Limited Liability Co. (2018 - 2021)

Companies related by address

12020 SEMINOLE BLVD, LARGO, FL, 33778

OSTEOPATHIC HERITAGE CORPORATION

12020 SEMINOLE BLVD, LARGO, FL, 33778

OSTEOPATHIC HERITAGE CORPORATION

Date of last update: 01 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated