| Entity Name: | HAWTHORNE MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
HAWTHORNE MEDICAL CENTER, 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: | 07 Oct 1998 (27 years ago) |
| Date of dissolution: | 13 Jun 2011 (14 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Jun 2011 (14 years ago) |
| Document Number: | P98000086472 |
| FEI/EIN Number |
593537283
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 21815 SOUTHEAST 71ST AVENUE, HAWTHORNE, FL, 32640, US |
| Mail Address: | 2090 CARPENTER PIKE, VERSAILLES, KY, 40383, US |
| ZIP code: | 32640 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023196318 | 2006-11-02 | 2009-07-06 | 21815 S.E .71ST AVENUE, HAWTHORNE, FL, 326403974, US | 21815 S.E .71ST AVENUE, HAWTHORNE, FL, 326403974, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-481-2400 |
| Fax | 3524812777 |
Authorized person
| Name | PATRICIA O MCCULLOUGH |
| Role | PRESIDENT/OWNER |
| Phone | 3524812400 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME63062 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | HCC8421 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 37209S100 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 45696 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 18622 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCCULLOUGH PATRICIA | President | 21815 SOUTHEAST 71ST AVE, HAWTHORNE, FL, 32640 |
| HENSBY PATRICIA | Secretary | 3534 SPLIT RAIL LANE, ELLICOTT CITY, MD, 21042 |
| MCCULLOUGH PATRICIA | Agent | 21815 SOUTHEAST 71ST AVE., HAWTHORNE, FL, 32640 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08182900237 | HAWTHORNE MEDICAL CENTER | EXPIRED | 2008-06-30 | 2013-12-31 | - | 21815 SOUTHEAST 71ST AVENUE, HAWTHORNE, FL, 32640 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2011-06-13 | - | - |
| CHANGE OF MAILING ADDRESS | 2009-04-01 | 21815 SOUTHEAST 71ST AVENUE, HAWTHORNE, FL 32640 | - |
| AMENDED AND RESTATEDARTICLES/NAME CHANGE | 2009-03-11 | HAWTHORNE MEDICAL CENTER, INC. | - |
| REGISTERED AGENT NAME CHANGED | 2009-03-11 | MCCULLOUGH, PATRICIA | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-11 | 21815 SOUTHEAST 71ST AVE., HAWTHORNE, FL 32640 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2001-05-10 | 21815 SOUTHEAST 71ST AVENUE, HAWTHORNE, FL 32640 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000023056 | LAPSED | 2010 CC 004817 NC | 12TH JUDICIAL, SARASOTA CO. | 2011-01-07 | 2016-01-14 | $10,422.13 | KERKERING, BARBERIO & CO., 1990 MAIN STREET, SUITE 801, SARASOTA, FL 34236 |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2011-06-13 |
| ANNUAL REPORT | 2010-02-19 |
| ANNUAL REPORT | 2009-04-01 |
| Amended/Restated Article/NC | 2009-03-11 |
| ANNUAL REPORT | 2008-04-03 |
| ANNUAL REPORT | 2007-07-03 |
| ANNUAL REPORT | 2006-07-11 |
| ANNUAL REPORT | 2005-01-17 |
| ANNUAL REPORT | 2004-07-06 |
| ANNUAL REPORT | 2003-02-19 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
