| Entity Name: | PONTE VEDRA MEDICAL CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Oct 1982 (42 years ago) |
| Document Number: | G05197 |
| FEI/EIN Number | 592955868 |
| Address: | 200 W FORSYTH ST, STE 1330, JACKSONVILLE, FL, 32202, US |
| Mail Address: | 200 W FORSYTH ST, STE 1330, JACKSONVILLE, FL, 32202, US |
| ZIP code: | 32202 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BLACKARD, WILLIAM R., JR. | Agent | 200 W FORSYTH ST, JACKSONVILLE, FL, 32202 |
| Name | Role | Address |
|---|---|---|
| BLACKARD, WILLIAM R., JR | President | 200 W FORSYTH ST STE 1330, JACKSONVILLE, FL, 32202 |
| Name | Role | Address |
|---|---|---|
| BLACKARD, WILLIAM R., JR | Secretary | 200 W FORSYTH ST STE 1330, JACKSONVILLE, FL, 32202 |
| Name | Role | Address |
|---|---|---|
| BLACKARD, WILLIAM R., JR | Treasurer | 200 W FORSYTH ST STE 1330, JACKSONVILLE, FL, 32202 |
| Name | Role | Address |
|---|---|---|
| BLACKARD, WILLIAM R. JR. | Director | 200 W FORSYTH ST STE 1330, JACKSONVILLE, FL, 32202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1999-09-24 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
