| Entity Name: | THE BALANCE DISORDERS CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Nov 1989 (35 years ago) |
| Document Number: | L32915 |
| FEI/EIN Number | 592984100 |
| Address: | 1401 CENTERVILLE RD., SUITE 510, TALLAHASSEE, FL, 32308, US |
| Mail Address: | 1401 Centerville Rd, Suite 510, tallahassee, FL, 32308, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366745671 | 2010-12-08 | 2010-12-08 | 1401 CENTERVILLE RD, STE 510, TALLAHASSEE, FL, 323084647, US | 1401 CENTERVILLE RD, STE 510, TALLAHASSEE, FL, 323084647, US | |||||||||||||||||||
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| Phone | +1 850-878-3592 |
| Fax | 8508783970 |
Authorized person
| Name | DR. CHARLES G MAITLAND |
| Role | PHYSICIAN |
| Phone | 8508783592 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0043800 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAITLAND CHARLES G | Agent | 4935 ARDEN FOREST WAY, TALLAHASSEE, FL, 32309 |
| Name | Role | Address |
|---|---|---|
| MAITLAND CHARLES G | Director | 4935 ARDEN FOREST WAY, TALLAHASSEE, FL, 32309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2000-07-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1999-09-24 | No data | No data |
| REINSTATEMENT | 1993-03-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1992-10-09 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
