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MEDICAL PROFESSIONAL AGENCY, INC.

Company Details

Entity Name: MEDICAL PROFESSIONAL AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 26 Jul 1985 (39 years ago)
Document Number: H68311
FEI/EIN Number 592555835
Address: 1717 NORTH E STREET, SUITE 320, PENSACOLA, FL, 32501, US
Mail Address: 1717 NORTH E STREET, SUITE 320 ATTN MARY MATHEWS, PENSACOLA, FL, 32501, US
ZIP code: 32501
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972714400 2007-05-25 2020-08-22 9400 UNIVERSITY PKWY, SUITE 101A, PENSACOLA, FL, 325145752, US 9400 UNIVERSITY PKWY, PENSACOLA, FL, 325145752, US

Contacts

Phone +1 850-208-6400
Fax 8502086419

Authorized person

Name SHARON GAUBERT
Role DIRECTOR
Phone 8502086400

Taxonomy

Taxonomy Code 261QX0100X - Occupational Medicine Clinic/Center
Is Primary Yes

Agent

Name Role Address
CALLAHAN ELIZABETH Agent 1717 NORTH E STREET, PENSACOLA, FL, 32501

President

Name Role Address
PORTER JOHN President 1717 N. E ST STE 320, PENSACOLA, FL, 35021

Director

Name Role Address
PORTER JOHN Director 1717 N. E ST STE 320, PENSACOLA, FL, 35021
MCGEE ELEANOR Director 1717 N. E ST STE 321, PENSACOLA, FL, 32501

Assistant Secretary

Name Role Address
Mathews Mary Assistant Secretary 1717 N. E ST STE 320, PENSACOLA, FL, 32501

Vice President

Name Role Address
Johnson Carla Vice President 1717 NORTH E ST., STE. 320, PENSACOLA, FL, 32501

Treasurer

Name Role Address
MCGEE ELEANOR Treasurer 1717 N. E ST STE 321, PENSACOLA, FL, 32501

Corr

Name Role Address
Goraum Trina Corr 1717 North E St, Pensacola, FL, 32501

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000030077 BAPTIST OCCUPATIONAL HEALTH EXPIRED 2014-03-25 2019-12-31 No data 1717 NORTH "E" STREET SUITE 320, PENSACOLA, FL, 32501
G12000038375 OCCUPATIONAL HEALTH EXPIRED 2012-04-23 2017-12-31 No data 1717 NORTH E STREET SUITE 320, PENSACOLA, FL, 32501
G11000110740 BAPTIST OCCUPATIONAL MEDICINE EXPIRED 2011-11-14 2016-12-31 No data 1717 NORTH E STREET SUITE 320, PENSACOLA, FL, 32501
G11000110745 BAPTIST WELLNESS WORKS EXPIRED 2011-11-14 2016-12-31 No data 1717 NORTH E STREET SUITE 320, PENSACOLA, FL, 32501
G11000110742 SENIOR HEALTH EXPIRED 2011-11-14 2016-12-31 No data 1717 NORTH E STREET SUITE 320, PENSACOLA, FL, 32501

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
RESTATED ARTICLES 1998-07-08 No data No data
CORPORATE MERGER 1993-12-30 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 700000002907

Date of last update: 01 Jan 2025

Sources: Florida Department of State