| Entity Name: | MEDICAL LOGIC FT. WALTON, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 09 Oct 2012 (12 years ago) |
| Branch of: | MEDICAL LOGIC FT. WALTON, INC., ALABAMA (Company Number 000-044-805) |
| Document Number: | F12000004125 |
| FEI/EIN Number | 455284531 |
| Address: | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA, 19462 |
| Mail Address: | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA, 19462 |
| Place of Formation: | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891055885 | 2012-05-23 | 2021-09-30 | 3325 BARTLETT BLVD, ORLANDO, FL, 328116428, US | 922 MAR WALT DR STE 101, FORT WALTON BEACH, FL, 325476703, US | |||||||||||||||||||||||||||
|
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| Phone | +1 407-206-0040 |
| Fax | 4072060010 |
| Phone | +1 850-862-6277 |
| Fax | 8508626279 |
Authorized person
| Name | STEPHEN P GRIGGS |
| Role | CEO |
| Phone | 4072060040 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 326880 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED CORPORATE SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Foster Suzanne | President | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA, 19462 |
| Name | Role | Address |
|---|---|---|
| Russalesi Wendy | CHIE | 220 W GERMANTOWN PIKE SUITE 250, PLYMOUTH MEETING, PA, 19462 |
| Name | Role | Address |
|---|---|---|
| CLEMENS JASON | Treasurer | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA, 19462 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000088905 | AEROCARE | ACTIVE | 2019-08-21 | 2029-12-31 | No data | 220 W GERMANTOWN PIKE SUITE 250, PLYMOUTH MEETING, PA, 19462 |
| G12000114019 | MEDLOGIC | EXPIRED | 2012-11-28 | 2017-12-31 | No data | 466 E MAIN ST, PRATTVILLE, AL, 36067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-14 | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA 19462 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-14 | 220 W GERMANTOWN PK #250, PLYMOUTH MEETING, PA 19462 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-14 | UNITED CORPORATE SERVICES, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-14 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-13 |
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-04-04 |
| AMENDED ANNUAL REPORT | 2022-10-18 |
| Reg. Agent Change | 2022-10-14 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-06-02 |
| ANNUAL REPORT | 2020-06-08 |
| AMENDED ANNUAL REPORT | 2019-08-20 |
| ANNUAL REPORT | 2019-01-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
