| Entity Name: | SHELLY L. HALL, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SHELLY L. HALL, M.D., 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: | 25 Oct 1999 (25 years ago) |
| Document Number: | P99000093692 |
| FEI/EIN Number |
593604681
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4611 STATE HWY 17, SUITE 2, FLEMING ISLAND, FL, 32003 |
| Mail Address: | 4611 STATE HWY 17, SUITE 2, FLEMING ISLAND, FL, 32003 |
| ZIP code: | 32003 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841231610 | 2006-06-10 | 2020-08-22 | 4611 US HIGHWAY 17, SUITE 2, ORANGE PARK, FL, 320038245, US | 4611 US HIGHWAY 17, SUITE 2, ORANGE PARK, FL, 320038245, US | |||||||||||||||||||
|
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| Phone | +1 904-264-4333 |
| Fax | 9042644301 |
Authorized person
| Name | DR. SHELLY L. HALL |
| Role | PRESIDENT |
| Phone | 9042644333 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME0061916 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HALL SHELLY L | Director | 465 HOPE HULL COURT, GREEN COVE SPRINGS, FL, 32043 |
| HALL SHELLY L | Agent | 465 HOPE HULL COURT, GREEN COVE SPRINGS, FL, 32043 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000113033 | ISLAND PEDIATRICS | ACTIVE | 2016-10-17 | 2026-12-31 | - | 4611 US HIGHWAY 17, SUITE 2, FLEMING ISLAND, FL, 32003 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-11 | 4611 STATE HWY 17, SUITE 2, FLEMING ISLAND, FL 32003 | - |
| CHANGE OF MAILING ADDRESS | 2011-04-11 | 4611 STATE HWY 17, SUITE 2, FLEMING ISLAND, FL 32003 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-24 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-01-15 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
