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WELAKA CLINIC, INC. - Florida Company Profile

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Company Details

Entity Name: WELAKA CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 17 Aug 2005 (20 years ago)
Date of dissolution: 26 Sep 2008 (17 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2008 (17 years ago)
Document Number: N05000008459
FEI/EIN Number 203254644

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 405 ELM STREET, WELAKA, FL, 32193, US
Mail Address: P.O. BOX 1110, WELAKA, FL, 32193, US
ZIP code: 32193
County: Putnam
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SANDS GORDON Director P.O. BOX 415, WELAKA, FL, 32193
WILSON CHARLES Director P.O. BOX 54, WELAKA, FL, 32193
JOHNSON ALFRED Director P.O. BOX 185, WELAKA, FL, 32193
JOHNS EDDIE Director P.O. BOX 737, WELAKA, FL, 32193
HASKELL JAMES Director 216 SPORTSMAN DRIVE, SATSUMA, FL, 32193
SCOTT ALLEN Agent 99 ORANGE STREET, ST. AUGUSTINE, FL, 32084

National Provider Identifier

NPI Number:
1184651168

Authorized Person:

Name:
GARY BUCKMAN
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No

Contacts:

Fax:
3864673174

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -
AMENDMENT 2007-01-29 - -
CHANGE OF MAILING ADDRESS 2006-07-24 405 ELM STREET, WELAKA, FL 32193 -

Documents

Name Date
Amendment 2007-01-29
ANNUAL REPORT 2007-01-29
ANNUAL REPORT 2006-07-24
Domestic Non-Profit 2005-08-17

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Date of last update: 03 Jun 2025

Sources: Florida Department of State