| Entity Name: | POINT WASHINGTON MEDICAL CLINIC INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Jul 2018 (7 years ago) |
| Last Event: | AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 20 Mar 2019 (6 years ago) |
| Document Number: | N18000007256 |
| FEI/EIN Number | 83-1125021 |
| Address: | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Mail Address: | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| ZIP code: | 32459 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568934560 | 2019-01-02 | 2024-03-26 | 1321 N COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 324595916, US | 1321 N COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 324595916, US | |||||||||||||||
|
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| Phone | +1 850-213-1133 |
| Fax | 8502132533 |
Authorized person
| Name | DR. HILLARY GLENN |
| Role | EXECUTIVE DIRECTOR |
| Phone | 8502131133 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HILL COLEMAN LLC | Agent |
| Name | Role | Address |
|---|---|---|
| GLENN, HILLARY, DNP. FNP, DC | President | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Name | Role | Address |
|---|---|---|
| GLENN, HILLARY, DNP. FNP, DC | EXECUTIVE D | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Name | Role | Address |
|---|---|---|
| JUSTISS, PHILIP | Chairman | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Name | Role | Address |
|---|---|---|
| JUSTISS, PHILIP | Director | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| WARD, JACQUELINE | Director | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Cordle, Nathan | Director | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| KRAMOLIS, SHANNON | Director | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Wallace, Valaria | Director | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| MCDAVID, MARK | Director | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Crocker, Rosanne | Director | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Moore, Anoma | Director | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Fisher, Grove | Director | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Brock, Judy | Director | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Name | Role | Address |
|---|---|---|
| Cordle, Nathan | Secretary | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Name | Role | Address |
|---|---|---|
| MCDAVID, MARK | Vice Chairman | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Name | Role | Address |
|---|---|---|
| Crocker, Rosanne | Treasurer | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-06 | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-06 | 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 | No data |
| AMENDED AND RESTATEDARTICLES | 2019-03-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-04-03 |
| Amended and Restated Articles | 2019-03-20 |
| Domestic Non-Profit | 2018-07-02 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
