Data update history
June 1, 2023
Posted financials
Added Form 990N for fiscal year 2022
January 2, 2022
Posted financials
Added Form 990N for fiscal year 2020
March 1, 2020
Updated personnel
Identified 1 new personnel
February 28, 2020
Used new vendors
Identified 1 new vendor, including
December 31, 2018
Posted financials
Added Form 990N for fiscal year 2018
Nonprofit Types
ClinicsHealth organizations
Issues
Health
Characteristics
State / local levele-Postcard filer
General information
- Address
- 1414 Kingsley Ave
- Orange Park, FL 32073
- Metro area
- Jacksonville, FL
- County
- Clay County, FL
- Phone
- (904) 269-3842
IRS details
- EIN
- 59-3688639
- Fiscal year end
- December
- Taxreturn type
- Form 990-N / Postcard
- Year formed
- 2002
- Eligible to receive tax-deductible contributions (Pub 78)
- No
Categorization
- NTEE code, primary
- E30: Health Treatment Facilities and Clinics, Outpatient
- NAICS code, primary
- 621: Outpatient Health Care Practitioners and Facilities
- Parent/child status
- Independent
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