| Entity Name: | UROLOGY MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 09 Aug 1995 (30 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | F95000003858 |
| FEI/EIN Number | 731477293 |
| Address: | 4601 US HWY 90 WEST, LAKE CITY, FL, 32055 |
| Mail Address: | 4601 US HWY 90 WEST, LAKE CITY, FL, 32055 |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | OKLAHOMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013969609 | 2006-05-16 | 2020-08-22 | 4601 W US HIGHWAY 90, LAKE CITY, FL, 320554880, US | 4601 W US HIGHWAY 90, LAKE CITY, FL, 320554880, US | |||||||||||||||
|
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| Phone | +1 386-752-4189 |
| Fax | 3867524213 |
Authorized person
| Name | DR. ROBERT GEORGE BUSCH |
| Role | PRESIDENT |
| Phone | 3867524189 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BUSCH ROBERT GPreside | Agent | 4601 US HWY 90 W, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| BUSCH ROBERT G | President | 4601 US HIGHWAY 90 W., LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| BUSCH ROBERT G | Director | 4601 US HIGHWAY 90 W., LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| BUSCH ROBERT G | Chairman | 4601 US HIGHWAY 90 W., LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| ORDINARIO ERIC D. O. | Vice President | 4601 US HIGHWAY 90 W, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-02-24 | BUSCH, ROBERT G, President | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-05 | 4601 US HWY 90 WEST, LAKE CITY, FL 32055 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-05 | 4601 US HWY 90 WEST, LAKE CITY, FL 32055 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-01-09 | 4601 US HWY 90 W, LAKE CITY, FL 32055 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-21 |
| ANNUAL REPORT | 2015-01-10 |
| ANNUAL REPORT | 2014-02-24 |
| ANNUAL REPORT | 2013-01-24 |
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-04 |
| ANNUAL REPORT | 2009-01-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
