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PHYSICIANS GROUP SERVICES, P.A. - Florida Company Profile

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Company Details

Entity Name: PHYSICIANS GROUP SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Aug 1999 (26 years ago)
Last Event: AMENDMENT
Event Date Filed: 13 Dec 2023 (2 years ago)
Document Number: P99000070573
FEI/EIN Number 593591435
Address: 705 Wells Road, Suite 300, Orange Park, FL, 32073, US
Mail Address: 705 Wells Road, Suite 300, Attn: Accounting Department, Orange Park, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TABOH GREGG Chief Operating Officer 705 WELLS ROAD, SUITE 300, ORANGE PARK, FL, 32073
- Agent -
Powell Kenneth A President 705 Wells Road, Suite 300, Orange Park, FL, 32073
Miller Alan E Treasurer 705 Wells Road, Suite 300, Orange Park, FL, 32073
Greene Michael Secretary 705 Wells Road, Suite 300, Orange Park, FL, 32073
Christman Andrew Chief Executive Officer 705 Wells Road, Suite 300, Orange Park, FL, 32073

National Provider Identifier

NPI Number:
1700522299
Certification Date:
2025-05-30

Authorized Person:

Name:
ANDREW T CHRISTMAN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
No
Selected Taxonomy:
207XS0117X - Orthopaedic Surgery of the Spine Physician
Is Primary:
No
Selected Taxonomy:
207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No

Contacts:

Fax:
9046191080
Fax:
9042644311

Form 5500 Series

Employer Identification Number (EIN):
593591435
Plan Year:
2021
Number Of Participants:
401
Sponsors DBA Name:
FAMILY MEDICAL CENTERS
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
445
Sponsors DBA Name:
FAMILY MEDICAL CENTERS
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
429
Sponsors DBA Name:
FAMILY MEDICAL CENTERS
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
404
Sponsors DBA Name:
FAMILY MEDICAL CENTERS
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
431
Sponsors DBA Name:
FAMILY MEDICAL CENTERS
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000056956 COASTAL HEALTH ACTIVE 2023-05-04 2028-12-31 - 705 WELLS ROAD, SUITE 300, ORANGE PARK, FL, 32073
G23000056962 COASTAL HEALTH SPECIALTY CARE ACTIVE 2023-05-04 2028-12-31 - 705 WELLS ROAD, SUITE 300, ORANGE PARK, FL, 32073
G22000116219 COASTAL HEALTH ACTIVE 2022-09-15 2027-12-31 - 705 WELLS ROAD, ORANGE PARK, FL, 32073
G19000100777 COASTAL ANESTHESIA PARTNERS EXPIRED 2019-09-13 2024-12-31 - 3839 COUNTY ROAD 218, MIDDLEBURG, FL, 32068
G19000029873 COASTAL SPECIALTIES EXPIRED 2019-03-04 2024-12-31 - 7855 ARGYLE FOREST BLVD #101, JACKSONVILLE, FL, 32244
G19000029856 COASTAL KIDNEY CLINICS EXPIRED 2019-03-04 2024-12-31 - 7855 ARGYLE FOREST BLVD, #101, JACKSONVILLE, FL, 32244
G19000029872 COASTAL GASTROENTEROLOGY & HEPATOLOGY EXPIRED 2019-03-04 2024-12-31 - 7855 ARGYLE FOREST BLVD #101, JACKSONVILLE, FL, 32244
G19000029862 COASTAL PHYSICAL THERAPY EXPIRED 2019-03-04 2024-12-31 - 7855 ARGYLE FOREST BLVD, SUITE 101, JACKSONVILLE, FL, 32244
G19000029869 COASTAL LABORATORIES EXPIRED 2019-03-04 2024-12-31 - 7855 ARGYLE FOREST BLVD #101, JACKSONVILLE, FL, 32244
G19000029866 AMELIA PSYCHIATRY EXPIRED 2019-03-04 2024-12-31 - 7855 ARGYLE FOREST BLVD #101, JACKSONVILLE, FL, 32244

Events

Event Type Filed Date Value Description
AMENDMENT 2023-12-13 - -
CHANGE OF PRINCIPAL ADDRESS 2023-04-24 705 Wells Road, Suite 300, Orange Park, FL 32073 -
CHANGE OF MAILING ADDRESS 2023-04-24 705 Wells Road, Suite 300, Orange Park, FL 32073 -
REGISTERED AGENT NAME CHANGED 2023-04-24 MH Corporate Services, Inc. -
REGISTERED AGENT ADDRESS CHANGED 2021-03-18 14 East Bay Street, Jacksonville, FL 32202 -
AMENDMENT 2017-10-16 - -
AMENDMENT AND NAME CHANGE 2000-03-17 PHYSICIANS GROUP SERVICES, P.A. -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J23000193987 TERMINATED 1000000947692 CLAY 2023-04-25 2043-05-03 $ 9,876.55 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825

Documents

Name Date
ANNUAL REPORT 2024-04-11
Amendment 2023-12-13
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-01-12
AMENDED ANNUAL REPORT 2021-03-18
AMENDED ANNUAL REPORT 2021-03-04
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-05-01

Trademarks

Serial Number:
97416399
Mark:
COASTAL HEALTH
Status:
Registered. The registration date is used to determine when post-registration maintenance documents are due.
Mark Type:
Service Mark
Application Filing Date:
2022-05-18
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
COASTAL HEALTH

Goods And Services

For:
Medical services
First Use:
2023-05-19
International Classes:
044 - Primary Class
Class Status:
ACTIVE
Serial Number:
86225645
Mark:
COASTAL
Status:
A Sections 8 and 15 combined declaration has been accepted and acknowledged.
Mark Type:
Service Mark
Application Filing Date:
2014-03-19
Mark Drawing Type:
3 - AN ILLUSTRATION DRAWING WHICH INCLUDES WORD(S)/ LETTER(S) /NUMBER(S)
Mark Literal Elements:
COASTAL

Goods And Services

For:
Medical services
First Use:
2013-09-20
International Classes:
044 - Primary Class
Class Status:
ACTIVE
Serial Number:
86225628
Mark:
FAMILY MEDICAL CENTERS
Status:
A Sections 8 and 15 combined declaration has been accepted and acknowledged.
Mark Type:
Service Mark
Application Filing Date:
2014-03-19
Mark Drawing Type:
3 - AN ILLUSTRATION DRAWING WHICH INCLUDES WORD(S)/ LETTER(S) /NUMBER(S)
Mark Literal Elements:
FAMILY MEDICAL CENTERS

Goods And Services

For:
Medical services
First Use:
2013-09-20
International Classes:
044 - Primary Class
Class Status:
ACTIVE

Paycheck Protection Program

Jobs Reported:
471
Initial Approval Amount:
$5,414,300
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$5,414,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$5,475,414.84
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $5,414,300

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Date of last update: 01 Aug 2025

Sources: Florida Department of State