| Entity Name: | MANDARIN FAMILY MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MANDARIN FAMILY MEDICINE, 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: |
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: | 22 Jun 1999 (26 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | P99000056688 |
| FEI/EIN Number |
593583472
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12276-210 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| Mail Address: | 12276-210 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891031910 | 2012-12-18 | 2012-12-18 | 12276-210 SAN JOSE BLVD, JACKSONVILLE, FL, 32223, US | 12276-210 SAN JOSE BLVD, JACKSONVILLE, FL, 32223, US | |||||||||||||||||||
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| Phone | +1 904-268-9266 |
| Fax | 9042921482 |
Authorized person
| Name | DR. RODNEY A MARCOM |
| Role | DOCTOR |
| Phone | 9042689266 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | OS3739 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARCOM RODNEY AD.O. | President | 12276-210 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| MARCOM RODNEY AD.O. | Agent | 12276-210 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2015-04-13 | MARCOM, RODNEY A., D.O. | - |
| REINSTATEMENT | 2010-10-05 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2002-04-18 | 12276-210 SAN JOSE BLVD, JACKSONVILLE, FL 32223 | - |
| CHANGE OF MAILING ADDRESS | 2002-04-18 | 12276-210 SAN JOSE BLVD, JACKSONVILLE, FL 32223 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2002-04-18 | 12276-210 SAN JOSE BLVD, JACKSONVILLE, FL 32223 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-05-22 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-04-09 |
| ANNUAL REPORT | 2016-03-25 |
| ANNUAL REPORT | 2015-04-13 |
| ANNUAL REPORT | 2014-04-03 |
| ANNUAL REPORT | 2013-03-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2003788409 | 2021-02-03 | 0491 | PPS | 12276 San Jose Blvd, Jacksonville, FL, 32223-8628 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1133317808 | 2020-05-01 | 0491 | PPP | 12276 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
