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  5. FIRST COAST MEDICAL CENTER, INC.

FIRST COAST MEDICAL CENTER, INC.

Company Details

Entity Name: FIRST COAST MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Mar 1997 (28 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 26 Aug 2005 (19 years ago)
Document Number: P97000023387
FEI/EIN Number 593433709
Mail Address: 4211 PEARL STREET, JACKSONVILLE, FL, 32206, US
Address: 4211 PEARL STREET, JACKSONVILLE, FL, 32206
ZIP code: 32206
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134157217 2006-06-29 2014-02-07 PO BOX 17809, JACKSONVILLE, FL, 322457809, US 4211 N PEARL ST, JACKSONVILLE, FL, 322066411, US

Contacts
Phone +1 904-723-0015
Fax 9043380951
Phone +1 904-358-8692
Fax 9043546908

Authorized person
Name DIANA WHEELER
Role OFFICE MANAGER
Phone 9047235665

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIRST COAST MEDICAL CENTER INC 401(K) PROFIT SHARING PLAN & TRUST 2023 593433709 2024-04-03 FIRST COAST MEDICAL CENTER INC 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 4211 N PEARL ST, JACKSONVILLE, FL, 32206

Signature of
Role Plan administrator
Date 2024-04-03
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401(K) PROFIT SHARING PLAN & TRUST 2022 593433709 2023-04-04 FIRST COAST MEDICAL CENTER INC 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 4211 N PEARL ST, JACKSONVILLE, FL, 32206

Signature of
Role Plan administrator
Date 2023-04-04
Name of individual signing DIANE L. CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401(K) PROFIT SHARING PLAN & TRUST 2021 593433709 2022-04-25 FIRST COAST MEDICAL CENTER INC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 4211 N PEARL ST, JACKSONVILLE, FL, 32206

Signature of
Role Plan administrator
Date 2022-04-25
Name of individual signing DIANE L. CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401(K) PROFIT SHARING PLAN & TRUST 2020 593433709 2021-04-14 FIRST COAST MEDICAL CENTER INC 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 4211 N PEARL ST, JACKSONVILLE, FL, 32206

Signature of
Role Plan administrator
Date 2021-04-14
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401(K) PROFIT SHARING PLAN & TRUST 2019 593433709 2020-04-06 FIRST COAST MEDICAL CENTER INC 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9043581159
Plan sponsor’s address 4211 N PEARL ST, JACKSONVILLE, FL, 32206

Signature of
Role Plan administrator
Date 2020-04-06
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2018 593433709 2019-03-12 FIRST COAST MEDICAL CENTER INC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 13453 NORTH MAIN ST STE 102, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2019-03-12
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2017 593433709 2018-04-04 FIRST COAST MEDICAL CENTER INC 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 13453 NORTH MAIN ST STE 102, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2018-04-04
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2016 593433709 2017-05-03 FIRST COAST MEDICAL CENTER INC 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 13453 NORTH MAIN ST STE 102, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2017-05-03
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2015 593433709 2016-05-23 FIRST COAST MEDICAL CENTER INC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 13453 NORTH MAIN ST STE 102, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2016-05-23
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2014 593433709 2015-06-02 FIRST COAST MEDICAL CENTER INC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 13453 NORTH MAIN ST STE 102, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2015-06-02
Name of individual signing DIANE L. CARTRETT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LIPPES MATHIAS LLP Agent 10151 DEERWOOD PARK BOULEVARD, JACKSONVILLE, FL, 32256

Director

Name Role Address
CARTER GRADY L Director 4211 PEARL STREET, JACKSONVILLE, FL, 32206

President

Name Role Address
CARTER GRADY L President 4211 PEARL STREET, JACKSONVILLE, FL, 32206

Secretary

Name Role Address
CARTRETT DIANE L Secretary 4211 PEARL ST, JAX, FL, 32206

Treasurer

Name Role Address
CARTRETT DIANE L Treasurer 4211 PEARL ST, JAX, FL, 32206

Vice President

Name Role Address
CARTRETT DIANE L Vice President 4211 PEARL STREET, JACKSONVILLE, FL, 32206

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-01-22 LIPPES MATHIAS LLP No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-22 10151 DEERWOOD PARK BOULEVARD, BUILDING 300, SUITE 300, JACKSONVILLE, FL 32256 No data
CHANGE OF MAILING ADDRESS 2018-01-23 4211 PEARL STREET, JACKSONVILLE, FL 32206 No data
NAME CHANGE AMENDMENT 2005-08-26 FIRST COAST MEDICAL CENTER, INC. No data
NAME CHANGE AMENDMENT 2002-08-15 FIRST COAST MEDICAL SERVICES, INC. No data

Documents

Name Date
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-02-21
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-20
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-15

Related by officers

CARTER GRADY L

PEARL & MAIN, LLC NORTHEAST FLORIDA NEUROLOGY CLINICS, INC.

CARTRETT DIANE L

KCD PROPERTIES LLC

LIPPES MATHIAS LLP

HARBORVIEW TITLE LLC BLUFF RUNNERS FLA, LLC NEXCALL LLC SCALE PROPERTY MANAGEMENT LLC SHORELINE WATER COMPANY LLC C3 MEDIA GROUP, LLC C+K DEVELOPMENTS CAPE CORAL LP C+K DEVELOPMENTS CAPE CORAL CORP. B&C LOGISTICS 2022 LLC B&C LOGISTICS 2022 INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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