| Entity Name: | SANDFORD H. KINNE, III, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SANDFORD H. KINNE, III, D.O., P.A. 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 13 Apr 1999 (26 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Dec 2018 (6 years ago) |
| Document Number: | P99000033728 |
| FEI/EIN Number |
593573926
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3 WILLOW CT, ORMOND BEACH, FL, 32174, US |
| Mail Address: | 3 WILLOW CT, ORMOND BEACH, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942435920 | 2009-05-20 | 2009-05-20 | PO BOX 731869, ORMOND BEACH, FL, 321731869, US | 290 CLYDE MORRIS BLVD, SUITE A-1, ORMOND BEACH, FL, 321748130, US | |||||||||||||||||||||||||
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| Phone | +1 386-677-5600 |
| Fax | 3866775686 |
Authorized person
| Name | DR. SANDFORD HALSEY KINNE III |
| Role | OWNER/SELF |
| Phone | 3866775600 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS0006791 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 375409000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Sandford H Kinne D.O., P.A. | Agent | 11 Riverside Dr, Holly Hill, FL, 32117 |
| KINNE III SANDFORD | President | 3 WILLOW CT, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-12-12 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-12-12 | 3 Willow Ct, Ormond Beach, FL 32174 | - |
| CHANGE OF MAILING ADDRESS | 2018-12-12 | 3 Willow Ct, Ormond Beach, FL 32174 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-26 | 11 Riverside Dr, Holly Hill, FL 32117 | - |
| REGISTERED AGENT NAME CHANGED | 2015-04-23 | Sandford H Kinne D.O., P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-01-31 |
| REINSTATEMENT | 2018-12-12 |
| ANNUAL REPORT | 2016-03-26 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-02-11 |
Date of last update: 03 May 2025
Sources: Florida Department of State
