| Entity Name: | CALLAWAY CLINIC, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Feb 2001 (24 years ago) |
| Document Number: | L01000002813 |
| FEI/EIN Number | 593700189 |
| Address: | 489 NORTH TYNDALL PARKWAY, CALLAWAY, FL, 32404 |
| Mail Address: | 489 NORTH TYNDALL PARKWAY, CALLAWAY, FL, 32404 |
| ZIP code: | 32404 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659577690 | 2007-06-26 | 2008-06-05 | 489 N TYNDALL PKWY, PANAMA CITY, FL, 324046126, US | 489 N TYNDALL PKWY, PANAMA CITY, FL, 324046126, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 850-769-2803 |
| Fax | 8509138046 |
Authorized person
| Name | DR. KETAN A PATEL |
| Role | OWNER |
| Phone | 8507692803 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MAPP ALBERT FJR | Agent | 489 NORTH TYNDALL PARKWAY, CALLAWAY, FL, 32404 |
| Name | Role | Address |
|---|---|---|
| MAPP ALBERT FJR., MD | Managing Member | 489 NORTH TYNDALL PARKWAY, CALLAWAY, FL, 32404 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-01-16 | MAPP, ALBERT F, JR | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-01-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
