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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
Allen Heidi E | Agent | 205 SHELL AVE., FORT WALTON BEACH, FL, 32548 |
Name | Role | Address |
---|---|---|
BOWEN, PHARM D TONI | Chairman | 2404 W. BEACH DR., PANAMA CITY, FL, 32401 |
Name | Role | Address |
---|---|---|
Alexander Natasha | Secretary | 60 Yacht Club Drive NE, Apt 9, FORT WALTON BEACH, FL, 32548 |
Name | Role | Address |
---|---|---|
Perman Shirley | Vice Chairman | 4652 Destiny Way, Destin, FL, 32541 |
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 |
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