| Entity Name: | RAFAEL S. INCLAN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Nov 1979 (45 years ago) |
| Document Number: | 645150 |
| FEI/EIN Number | 591946785 |
| Address: | 3599 UNIVERSITY BLVD. SOUTH, SUITE 100, JACKSONVILLE, FL, 32216 |
| Mail Address: | 3599 UNIVERSITY BLVD. SOUTH, SUITE 100, JACKSONVILLE, FL, 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| INCLAN, RAFAEL S., M.D. | Agent | 3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| INCLAN, RAFAEL S, MD | President | 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL |
| Name | Role | Address |
|---|---|---|
| INCLAN, RAFAEL S, MD | Director | 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL |
| Name | Role | Address |
|---|---|---|
| INCLAN, RAFAEL S, MD | Secretary | 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL |
| Name | Role | Address |
|---|---|---|
| INCLAN, RAFAEL S, MD | Treasurer | 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
