| Entity Name: | THE GOOD SAMARITAN FREE 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: | 12 Sep 2012 (13 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | N12000008733 |
| FEI/EIN Number |
46-0970320
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2601 VIRGINIA AVENUE, FORT PIERCE, FL, 34981, US |
| Mail Address: | P.O. Box 12144, Fort Pierce, FL, 34979, US |
| ZIP code: | 34981 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760802458 | 2014-04-21 | 2014-04-21 | PO BOX 3035, FORT PIERCE, FL, 349483035, US | 2601 VIRGINIA AVE, FORT PIERCE, FL, 349815539, US | |||||||||||||||||
|
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| Phone | +1 772-924-1137 |
Authorized person
| Name | EVA BRYANT |
| Role | EXECUTIVE ASSISTANT |
| Phone | 7728799383 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| License Number | RN9338409 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MYLES COLLIN | Chairman | 1205 EGRET AVENUE, FORT PIERCE, FL, 34982 |
| Phillip Jennifer C | Admi | 3237 SW Constellation Road, PORT ST LUCIE, FL, 34953 |
| Bryant Eva | Treasurer | 566 SW Aster Rd, PORT ST LUCIE, FL, 34953 |
| HYLTON MURIEL | Secretary | 1001 SW FENWAY ROAD, PORT ST LUCIE, FL, 34953 |
| BRYANT GEORGE | Boar | 566 SW ASTER ROAD, PORT ST LUCIE, FL, 34953 |
| BRYANT EVA | Agent | 566 SW ASTER ROAD, PORT ST LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF MAILING ADDRESS | 2017-03-26 | 2601 VIRGINIA AVENUE, FORT PIERCE, FL 34981 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-01 |
| ANNUAL REPORT | 2019-04-13 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-03-26 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-01-19 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-02-20 |
| Domestic Non-Profit | 2012-09-12 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
