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MANDARIN FAMILY MEDICINE, P.A. - Florida Company Profile

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Company Details

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
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1891031910

Authorized Person:

Name:
DR. RODNEY A MARCOM
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
305R00000X - Preferred Provider Organization
Is Primary:
Yes

Contacts:

Fax:
9042921482

Form 5500 Series

Employer Identification Number (EIN):
593583472
Plan Year:
2013
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
8
Sponsors Telephone Number:

Events

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 -

Documents

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

USAspending Awards / Financial Assistance

Date:
2021-02-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
65947.00
Total Face Value Of Loan:
65947.00
Date:
2020-06-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
66922.50
Total Face Value Of Loan:
66922.50
Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
8000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$65,947
Date Approved:
2021-02-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$65,947
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$66,716.38
Servicing Lender:
Fifth Third Bank
Use of Proceeds:
Payroll: $65,945
Utilities: $1
Jobs Reported:
8
Initial Approval Amount:
$66,922.5
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$66,922.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$67,595.44
Servicing Lender:
Fifth Third Bank
Use of Proceeds:
Payroll: $66,922.5

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Date of last update: 03 Jul 2025

Sources: Florida Department of State