| Entity Name: | MARION COUNTY EMS ALLIANCE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 09 Jul 2003 (22 years ago) |
| Date of dissolution: | 17 Sep 2008 (16 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Sep 2008 (16 years ago) |
| Document Number: | N03000005854 |
| FEI/EIN Number | 05-0579921 |
| Address: | 325 SW 60TH AVENUE, OCALA, FL 34474 |
| Mail Address: | P.O. BOX 2708, OCALA, FL 34478 |
| ZIP code: | 34474 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306942750 | 2006-09-15 | 2009-04-21 | 2631 SE 3RD ST, OCALA, FL, 344719101, US | 2631 SE 3RD ST, OCALA, FL, 344719101, US | |||||||||||||||||||||||||
|
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| Phone | +1 352-291-8030 |
| Fax | 3522918031 |
Authorized person
| Name | MR. JOHN GARRI |
| Role | FINANCE MANAGER |
| Phone | 3526715520 |
Taxonomy
| Taxonomy Code | 207PE0004X - Emergency Medical Services (Emergency Medicine) Physician |
| License Number | 2688 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 400098600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SMITH, MARTY | Agent | 101 SW THIRD STREET, OCALA, FL 34474 |
| Name | Role | Address |
|---|---|---|
| HOWARD, PATRICK | President | 601 S.E. 25TH AVENUE, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| NUGENT, PAUL | Vice President | 151 S.E. OSCEOLA AVENUE, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| PURVES, STEVE | Secretary | 131 S.W. 15TH STREET, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| ETHRIDGE, REX | Treasurer | 1431 SW 1ST AVE, OCALA, FL 34474 |
| Name | Role | Address |
|---|---|---|
| DASSANCE, CHARLES DR. | Director | 3001 S.W. COLLEGE ROAD, OCALA, FL 34474 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2008-09-17 | No data | No data |
| CANCEL ADM DISS/REV | 2004-11-02 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2004-11-02 | 325 SW 60TH AVENUE, OCALA, FL 34474 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| AMENDMENT | 2004-03-08 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-02-11 | 101 SW THIRD STREET, OCALA, FL 34474 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-02-11 | SMITH, MARTY | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2008-09-17 |
| ANNUAL REPORT | 2008-03-13 |
| ANNUAL REPORT | 2007-07-03 |
| ANNUAL REPORT | 2006-02-09 |
| ANNUAL REPORT | 2005-03-30 |
| REINSTATEMENT | 2004-11-02 |
| Amendment | 2004-03-08 |
| Reg. Agent Change | 2004-02-11 |
| Domestic Non-Profit | 2003-07-09 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
