| Entity Name: | PHYSICIANS MEDICAL CENTER NORTHSIDE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Jun 1998 (27 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P98000052996 |
| FEI/EIN Number | 593520922 |
| Address: | 1840 DUNN AVENUE, SUITE 1, JACKSONVILLE, FL, 32218, US |
| Mail Address: | 1853 WEST WINDY WAY, ST. JOHNS, FL, 32259, US |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891069449 | 2012-02-29 | 2012-02-29 | 1840 DUNN AVE, SUITE 1, JACKSONVILLE, FL, 322184799, US | 1840 DUNN AVE, SUITE 1, JACKSONVILLE, FL, 322184799, US | |||||||||||||||||||
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| Phone | +1 904-757-2527 |
| Fax | 9047573656 |
Authorized person
| Name | DR. RICHARD EDGAR KERSEY JR. |
| Role | PRESIDENT |
| Phone | 9047572527 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | FL7438 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KERSEY SHERRY K | Agent | 1853 WEST WINDY WAY, ST. JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| KERSEY SHERRY K | President | 1853 WEST WINDY WAY, ST. JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| KERSEY ROSS | Vice President | 1853 WEST WINDY WAY, ST. JOHNS, FL, 32259 |
| KERSEY RHETT | Vice President | 1853 WEST WINDY WAY, ST. JOHNS, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-02 | 1840 DUNN AVENUE, SUITE 1, JACKSONVILLE, FL 32218 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-02 | 1853 WEST WINDY WAY, ST. JOHNS, FL 32259 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-05-02 | KERSEY, SHERRY K | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-09 | 1840 DUNN AVENUE, SUITE 1, JACKSONVILLE, FL 32218 | No data |
| REINSTATEMENT | 2014-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2023-05-02 |
| AMENDED ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-06-19 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
