| Entity Name: | CYPRESS HEALTH SYSTEMS FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CYPRESS HEALTH SYSTEMS FLORIDA, 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: | 10 Jul 1998 (27 years ago) |
| Date of dissolution: | 26 Sep 2014 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (11 years ago) |
| Document Number: | P98000061235 |
| FEI/EIN Number |
752782071
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 125 SW 7TH ST, WILISTON, FL, 32696 |
| Mail Address: | 125 SW 7TH ST, WILISTON, FL, 32696 |
| ZIP code: | 32696 |
| County: | Levy |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629247259 | 2008-02-28 | 2010-11-23 | 125 SW 7TH STREET, WILLISTON, FL, 326962403, US | 125 SW 7TH ST, WILLISTON, FL, 326962403, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-528-2801 |
| Fax | 3525283824 |
Authorized person
| Name | MR. JERRY E GILLMAN |
| Role | CEO |
| Phone | 3525282801 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| License Number | 4424 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 72816 |
| State | FL |
| Issuer | MEDICAID |
| Number | 660137500 |
| State | FL |
| Issuer | BCBS OF FL |
| Number | 332 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LINDAUER RANDY L | President | 125 SW 7TH STREET, WILLISTON, FL, 32696 |
| KHAN JALIL A | Secretary | 6600 MYRTLE BEACH DR, PLANO, TX, 75093 |
| KHAN JALIL A | Treasurer | 6600 MYRTLE BEACH DR, PLANO, TX, 75093 |
| KHAN JALIL A | Director | 6600 MYRTLE BEACH DR, PLANO, TX, 75093 |
| TARIQ MOHAMMAD J | Director | 1850 LAKEPOINTE DR #100, LEWISVILLE, TX, 75057 |
| LINDAUER RANDY L | Agent | 125 SW 7TH STREET, WILLISTON, FL, 32696 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000071625 | VEIN AND VASCULAR CENTER OF NORTH CENTRAL FLORIDA | EXPIRED | 2011-07-18 | 2016-12-31 | - | 125 SW S7TH STREET, 125 SW 7TH ST, WILLISTON, FL, 32696 |
| G10000075930 | TRI COUNTY FAMILY HEALTH SERVICES - WIILISTON | EXPIRED | 2010-08-18 | 2015-12-31 | - | 125 SW 7TH STREET, WILLISTON, FL, 32696-2403, US |
| G10000075931 | TRI COUNTY FAMILY HEALTH SERVICES-CHIEFLAND | EXPIRED | 2010-08-18 | 2015-12-31 | - | 125 SW 7TH STREET, WILLISTON, FL, 32696-2403 |
| G10000067884 | TRI COUNTY HOSPITAL-WILLISTON | EXPIRED | 2010-07-23 | 2015-12-31 | - | 125 SW 7TH STREET, WILLISTON, FL, 32696-2403 |
| G10000065234 | TRI COUNTY HOSPITAL | EXPIRED | 2010-07-15 | 2015-12-31 | - | 125 SW 7TH STREET, WILLISTON, FL, 32696-2403 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-04-16 | LINDAUER, RANDY L | - |
| REINSTATEMENT | 2006-03-14 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2004-03-25 | 125 SW 7TH STREET, WILLISTON, FL 32696 | - |
| CHANGE OF MAILING ADDRESS | 2000-01-27 | 125 SW 7TH ST, WILISTON, FL 32696 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2000-01-27 | 125 SW 7TH ST, WILISTON, FL 32696 | - |
| AMENDMENT | 1998-09-25 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000241201 | LAPSED | 2011-CA-000455 | 8TH JUDICIAL LEVY COUNTY | 2012-02-23 | 2017-03-30 | $78,982.43 | ALLIANCE HEALTHCARE SERVICES, INC., (SEE IMAGE FOR ADDITIONAL CREDITORS), 100 BAYVIEW CIRCLE, STE 400, NEWPORT BEACH, CA 92660 |
| J12000199615 | TERMINATED | 11-2879 SC | COUNTY MARION | 2012-02-22 | 2017-03-20 | $9371.14 | SPECIAL PUBLICATIONS, 743 E FT KING ST, OCALA, FL 34471 |
| J11000333034 | LAPSED | 38-2011-CA-000425 | LEVY CIRCUIT | 2011-01-05 | 2016-05-27 | $27,136.41 | WELLS FARGO FINANCIAL LEASING, INC., 800 WALNUT STREET, DES MOINES, IOWA 50309 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-16 |
| ANNUAL REPORT | 2012-12-21 |
| ANNUAL REPORT | 2012-12-11 |
| ANNUAL REPORT | 2012-01-25 |
| ANNUAL REPORT | 2011-03-16 |
| ANNUAL REPORT | 2010-09-21 |
| ANNUAL REPORT | 2010-06-23 |
| ANNUAL REPORT | 2009-04-07 |
| ANNUAL REPORT | 2008-03-20 |
| ANNUAL REPORT | 2007-01-19 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
