| Entity Name: | OKALOOSA MEDICAL ASSISTANCE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 26 Feb 1993 (32 years ago) |
| Document Number: | N93000001103 |
| FEI/EIN Number | 593206653 |
| Address: | 221 NE HOSPITAL DR, FT. WALTON BEACH, FL, 32548, US |
| Mail Address: | POB OX 2573, FT WALTON BEACH, FL, 32549 |
| ZIP code: | 32548 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| ETHEREDGE JAMES G | Agent | 226 TROY ST., N.E., FT. WALTON BEACH, FL, 32548 |
| Name | Role | Address |
|---|---|---|
| KINZELMAN MATTHEW G | President | 708 VINTAGE CIRCLE, DESTIN, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| KINZELMAN MATTHEW G | Director | 708 VINTAGE CIRCLE, DESTIN, FL, 32541 |
| LIND VIRGINIA A | Director | 13 HOLMES VLVD, FT WALTON BEACH, FL, 32548 |
| HARRISON MARK | Director | 99 4TH AVE #109, SHALIMAR, FL, 32579 |
| MOSLEY BARBARA A | Director | 19 BAYVIEW DR, SHALIMAR, FL, 32569 |
| Name | Role | Address |
|---|---|---|
| HARRISON MARK | Treasurer | 99 4TH AVE #109, SHALIMAR, FL, 32579 |
| Name | Role | Address |
|---|---|---|
| MOSLEY BARBARA A | Secretary | 19 BAYVIEW DR, SHALIMAR, FL, 32569 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
