| Entity Name: | CLAY INDEPENDENT PRACTICE ASSOCIATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 16 Oct 1990 (34 years ago) |
| Document Number: | N40522 |
| FEI/EIN Number | 593070579 |
| Address: | 2020 PROFESSIONAL CENTER DR., ORANGE PARK, FL, 32073 |
| Mail Address: | 2020 PROFESSIONAL CENTER DR., ORANGE PARK, FL, 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| JACOBSON CHARLES J | Agent | CLAY INDEPENDENT PRACTICE ASSOC., INC., ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| DUFFY, PATRICK A., M.D. | Secretary | 1893 KINGSLEY AVE, ORANGE PARK, FL |
| Name | Role | Address |
|---|---|---|
| DUFFY, PATRICK A., M.D. | Director | 1893 KINGSLEY AVE, ORANGE PARK, FL |
| MARSLAND, THOMAS A., M.D | Director | 836 PRUDENTIAL DR, JACKSONVILLE, FL |
| JACOBSON CHARLES J | Director | 2020 PROFESSIONAL CENTER DR, ORANGE PARK, FL |
| Name | Role | Address |
|---|---|---|
| MARSLAND, THOMAS A., M.D | President | 836 PRUDENTIAL DR, JACKSONVILLE, FL |
| Name | Role | Address |
|---|---|---|
| JACOBSON CHARLES J | Treasurer | 2020 PROFESSIONAL CENTER DR, ORANGE PARK, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
