| Entity Name: | WATSON CLINIC - LAKE WALES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Jun 1986 (39 years ago) |
| Document Number: | J17330 |
| FEI/EIN Number | 592759313 |
| Address: | C/O WATSON CLINIC, 1600 LAKELAND HILLS BLVD, LAKELAND, FL, 33805, US |
| Mail Address: | C/O WATSON CLINIC, 1600 LAKELAND HILLS BLVD, LAKELAND, FL, 33805, US |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BARDEN GLEN A | Agent | 1600 LAKELAND HILLS BLVD, LAKELAND, FL, 33805 |
| Name | Role | Address |
|---|---|---|
| BARDEN, GLEN A., M.D. | Director | 1600 LAKELAND HILLS BLVD, LAKELAND, FL |
| Name | Role | Address |
|---|---|---|
| BARDEN, GLEN A., M.D. | Vice President | 1600 LAKELAND HILLS BLVD, LAKELAND, FL |
| Name | Role | Address |
|---|---|---|
| BARDEN, GLEN A., M.D. | President | 1600 LAKELAND HILLS BLVD, LAKELAND, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 1995-11-27 | No data | No data |
| NAME CHANGE AMENDMENT | 1987-06-30 | WATSON CLINIC - LAKE WALES, P.A. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
