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ATWOOD & CLARK ASSOCIATES, LLC

Company Details

Entity Name: ATWOOD & CLARK ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 23 May 2014 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 09 Nov 2018 (6 years ago)
Document Number: L14000083818
FEI/EIN Number 46-5769176
Address: 201 FOREST PARK CIR, PANAMA CITY, FL 32405
Mail Address: 201 Forest Park Cir, Panama City, FL 32405
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285038117 2014-10-21 2014-10-21 201 FOREST PARK CIR, PANAMA CITY, FL, 324054916, US 201 FOREST PARK CIR, PANAMA CITY, FL, 324054916, US

Contacts

Phone +1 850-248-7777
Fax 8502487779

Authorized person

Name MR. RAUN D SKYRM
Role ADMINISTRATOR
Phone 3307733544

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number ME108352
State FL
Is Primary Yes

Agent

Name Role Address
HOWELL CPA GROUP Agent 408 W Baldwin Rd, PANAMA CITY, FL 32405

Authorized Member

Name Role Address
ULHAQ, ATA Authorized Member 128 Twilight Bay Drive, PANAMA CITY BEACH, FL 32407

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000002977 MIDWAY MEDICAL CLINIC II EXPIRED 2019-01-07 2024-12-31 No data 201 FOREST PARK CIR, PANAMA CITY, FL, 32405
G18000134438 BEACH MIDWAY MEDICAL CLINIC ACTIVE 2018-12-20 2028-12-31 No data 201 FOREST PARK CIR, PANAMA CITY, FL, 32405
G14000054198 MIDWAY MEDICAL CLINIC II EXPIRED 2014-06-05 2019-12-31 No data 6303 SUNSET AVE, PANAMA CITY BEACH, FL, 32408

Events

Event Type Filed Date Value Description
REINSTATEMENT 2018-11-09 No data No data
CHANGE OF MAILING ADDRESS 2018-11-09 201 FOREST PARK CIR, PANAMA CITY, FL 32405 No data
REGISTERED AGENT ADDRESS CHANGED 2018-11-09 408 W Baldwin Rd, PANAMA CITY, FL 32405 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
LC AMENDMENT 2017-11-07 No data No data
REGISTERED AGENT NAME CHANGED 2017-05-01 HOWELL CPA GROUP No data
LC AMENDMENT 2014-12-01 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-02
ANNUAL REPORT 2019-04-26
REINSTATEMENT 2018-11-09
LC Amendment 2017-11-07
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-15

Date of last update: 21 Jan 2025

Sources: Florida Department of State