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GENESIS HEALTH CLINIC & SERVICES, INC.

Company Details

Entity Name: GENESIS HEALTH CLINIC & SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Inactive
Date Filed: 09 Jul 2010 (15 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: N10000006517
FEI/EIN Number 80-0713256
Address: 3333 N. WASHINGTON BLVD., SUITE 3, SARASOTA, FL 34234 UN
Mail Address: 3333 N. WASHINGTON BLVD., SUITE 3, SARASOTA, FL 34234 UN
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619278298 2010-11-12 2010-11-12 3333 N WASHINGTON BLVD, SUITE 3, SARASOTA, FL, 342346221, US 247 TAMIAMI TRL S, NOKOMIS, FL, 342753136, US

Contacts

Phone +1 941-486-8500
Fax 9414129400

Authorized person

Name MR. JAMES MCCLOUD
Role PRESIDENT/CEO
Phone 9413631852

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN 4922
State FL
Is Primary Yes

Agent

Name Role Address
MCCLOUD, JAMES E Agent 3333 N. WASHINGTON BLVD., SUITE 3, SARASOTA, FL 34234

President

Name Role Address
MCCLOUD, JAMES E President 3333 N. WASHINGTON BLVD. #3, SARASOTA, FL 34234

Treasurer

Name Role
CARTER-WILLIAM LLC Treasurer

Secretary

Name Role Address
MCCLOUD, LINDA Secretary 3333 N. WASHINGTON BLVD. #3, SARASOTA, FL 34234

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-04-29 3333 N. WASHINGTON BLVD., SUITE 3, SARASOTA, FL 34234 UN No data
CHANGE OF MAILING ADDRESS 2011-04-29 3333 N. WASHINGTON BLVD., SUITE 3, SARASOTA, FL 34234 UN No data

Documents

Name Date
ANNUAL REPORT 2014-03-24
ANNUAL REPORT 2013-04-30
ANNUAL REPORT 2012-04-30
ANNUAL REPORT 2011-04-29
Domestic Non-Profit 2010-07-09

Date of last update: 25 Jan 2025

Sources: Florida Department of State