| Entity Name: | WATSON CLINIC FOUNDATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 04 Aug 1960 (64 years ago) |
| Document Number: | 701275 |
| FEI/EIN Number | 591100876 |
| Address: | 1430 Lakeland Hills Blvd, 4th Floor, Lakeland, FL, 33805, US |
| Mail Address: | 1430 Lakeland Hills Blvd, 4th Floor, Lakeland, FL, 33805, US |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| ROTH WILLIAM Dr. | Agent | 1600 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Name | Role | Address |
|---|---|---|
| HEYSEK RANDY | Director | 1730 LAKELAND HILLS BLVD., LAKELAND, FL, 33805 |
| GLOR M. SHANE | Director | 331 S. FLORIDA AVE, LAKELAND, FL, 33801 |
| PATEL PRANAY Dr. | Director | 1600 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Name | Role | Address |
|---|---|---|
| ROTH WILLIAM Dr. | Chairman | 1600 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Name | Role | Address |
|---|---|---|
| HIRSBRUNNER JASON | Chief Executive Officer | 1600 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 1969-07-10 | WATSON CLINIC FOUNDATION, INC. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
