| Entity Name: | WALTON COUNTY FAMILY MEDICAL CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 19 Jan 1989 (36 years ago) |
| Date of dissolution: | 23 Aug 1996 (28 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Aug 1996 (28 years ago) |
| Document Number: | K59212 |
| FEI/EIN Number | 59-2929780 |
| Address: | 9 W ORANGE AVE, DEFUNIAK SPGS, FL 32433 |
| Mail Address: | 9 W ORANGE AVE, DEFUNIAK SPGS, FL 32433 |
| ZIP code: | 32433 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| LEYVA, JUSTIN C. | Agent | 10 WEST ORANGE AVE., DEFUNIAK SPRINGS FL, FL 32433-2449 |
| Name | Role | Address |
|---|---|---|
| LEYVA, JUSTIN C. | Director | 10 WEST ORANGE AVE., DEFUNIAK SPRINGS, FL |
| LEYVA, ARTURO C. | Director | 2700 BOB SIKES RD., DEFUNIAK SPRINGS, FL |
| LEYVA VICTORIA P | Director | 6710 BUNKERHILL DR, PENSACOLA, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1995-04-06 | 9 W ORANGE AVE, DEFUNIAK SPGS, FL 32433 | No data |
| CHANGE OF MAILING ADDRESS | 1995-04-06 | 9 W ORANGE AVE, DEFUNIAK SPGS, FL 32433 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1994-03-28 | 10 WEST ORANGE AVE., DEFUNIAK SPRINGS FL, FL 32433-2449 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 1995-04-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
