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BRIDGEWAY HEALTH CLINICS, INC

Company Details

Entity Name: BRIDGEWAY HEALTH CLINICS, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 01 May 2019 (6 years ago)
Date of dissolution: 29 Jun 2023 (2 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 29 Jun 2023 (2 years ago)
Document Number: N19000004894
FEI/EIN Number 83-4599943
Address: 137 HOSPITAL DR., FORT WALTON BEACH, FL, 32548
Mail Address: 205 SHELL AVE., BLDG - A, FORT WALTON BEACH, FL, 32548
ZIP code: 32548
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366000432 2019-06-03 2020-01-24 137 HOSPITAL DR NE, FORT WALTON BEACH, FL, 325485063, US 137 HOSPITAL DR NE, FORT WALTON BEACH, FL, 325485063, US

Contacts

Phone +1 850-833-7500
Fax 8508337528

Authorized person

Name BONNIE R BARLOW
Role CHIEF EXECUTIVE OFFICER
Phone 8508333975

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
Allen Heidi E Agent 205 SHELL AVE., FORT WALTON BEACH, FL, 32548

Chairman

Name Role Address
BOWEN, PHARM D TONI Chairman 2404 W. BEACH DR., PANAMA CITY, FL, 32401

Secretary

Name Role Address
Alexander Natasha Secretary 60 Yacht Club Drive NE, Apt 9, FORT WALTON BEACH, FL, 32548

Vice Chairman

Name Role Address
Perman Shirley Vice Chairman 4652 Destiny Way, Destin, FL, 32541

Events

Event Type Filed Date Value Description
MERGER 2023-06-29 No data CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS 710848. MERGER NUMBER 900000243189
REGISTERED AGENT NAME CHANGED 2021-01-28 Allen, Heidi E No data

Documents

Name Date
ANNUAL REPORT 2022-05-02
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-02-12
Domestic Non-Profit 2019-05-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State