| Entity Name: | SOUTHSIDE CLINIC, P.A., JOHN C. HACKENBERG, D.O. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Aug 1973 (51 years ago) |
| Document Number: | 604627 |
| FEI/EIN Number | 591478820 |
| Address: | 2030-C SOUTHSIDE BLVD, JACKSONVILLE, FL, 32216 |
| Mail Address: | 2030-C SOUTHSIDE BLVD, JACKSONVILLE, FL, 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| INMAN, R.J. | Agent | 1301 GULF LIFE DR, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| HACKENBERG, JOHN C, D O | Director | 2030-C SOUTHSIDE BLVD, JACKSONVILLE, FL 00000 |
| Name | Role | Address |
|---|---|---|
| HACKENBERG, JEAN | Secretary | 2030-C SOUTHSIDE BLVD, JACKSONVILLE, FL 00000 |
| Name | Role | Address |
|---|---|---|
| HACKENBERG, JOHN C, D O | President | 2030-C SOUTHSIDE BLVD, JACKSONVILLE, FL 00000 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
| NAME CHANGE AMENDMENT | 1975-10-09 | SOUTHSIDE CLINIC, P.A., JOHN C. HACKENBERG, D.O. | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
