| Entity Name: | BAYMEADOWS PRIMARY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BAYMEADOWS PRIMARY CARE, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 21 May 1998 (27 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | P98000046690 |
| FEI/EIN Number |
593516549
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10160 Bishop Lake Road W, JACKSONVILLE, FL, 32256-3413, US |
| Mail Address: | 10160 Bishop Lake Road W, JACKSONVILLE, FL, 32256-3413, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174512701 | 2005-10-17 | 2012-03-14 | 10058 BAYMEADOWS RD, JACKSONVILLE, FL, 322567177, US | 10058 BAYMEADOWS RD, JACKSONVILLE, FL, 322567177, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 904-636-5400 |
| Fax | 9049280654 |
Authorized person
| Name | MR. S. AWAIS IMAM |
| Role | PRACTICE ADMINISTRATOR/ CFO |
| Phone | 9046365400 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME71382 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME81517 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 273849000 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAYMEADOWS PRIMARY CARE INC 401K PROFIT SHARING PLAN | 2015 | 593516549 | 2016-08-29 | BAYMEADOWS PRIMARY CARE INC | 21 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2016-08-29 |
| Name of individual signing | AWAIS IMAM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9046365400 |
| Plan sponsor’s address | 10058 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32256 |
Signature of
| Role | Plan administrator |
| Date | 2015-10-14 |
| Name of individual signing | AWAIS IMAM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9046365400 |
| Plan sponsor’s address | 10058 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32256 |
Signature of
| Role | Plan administrator |
| Date | 2014-07-31 |
| Name of individual signing | AWAIS IMAM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9046365612 |
| Plan sponsor’s address | 10160 BISHOP LAKE RD W, JACKSONVILLE, FL, 32256 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-15 |
| Name of individual signing | BAYMEADOWS PRIMARY CARE INC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| IMAM TALAT M | Chief Executive Officer | 10160 Bishop Lake Road W, JACKSONVILLE, FL, 322563413 |
| IMAM S. AWAIS | President | 10160 Bishop Lake Road W, JACKSONVILLE, FL, 322563413 |
| IMAM HUSSAIN S | Vice President | 12839 BRODICK CT, JACKSONVILLE, FL, 322245619 |
| IMAM S. AWAIS | Agent | 10160 Bishop Lake Road W, JACKSONVILLE, FL, 322563413 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-16 | 10160 Bishop Lake Road W, JACKSONVILLE, FL 32256-3413 | - |
| CHANGE OF MAILING ADDRESS | 2020-03-16 | 10160 Bishop Lake Road W, JACKSONVILLE, FL 32256-3413 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-16 | 10160 Bishop Lake Road W, JACKSONVILLE, FL 32256-3413 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-04-14 |
| ANNUAL REPORT | 2014-01-12 |
| ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2012-01-15 |
| ANNUAL REPORT | 2011-04-12 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3943235000 | Small Business Administration | 59.041 - 504 CERTIFIED DEVELOPMENT LOANS | - | - | TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR | |||||||||||||||||||
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| 3562896002 | Small Business Administration | 59.041 - 504 CERTIFIED DEVELOPMENT LOANS | - | - | TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR | |||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
