Entity Name: | AFFORDABLE MEDICAL CLINIC, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 16 Oct 2000 (24 years ago) |
Document Number: | P00000097650 |
FEI/EIN Number | 593729390 |
Address: | 5553 HWY 90 WEST, PACE, FL, 32571 |
Mail Address: | 5553 HWY 90 WEST, PACE, FL, 32571 |
ZIP code: | 32571 |
County: | Santa Rosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1346554151 | 2010-08-04 | 2010-08-04 | PO BOX 628, MILTON, FL, 325720628, US | 5553 HIGHWAY 90, PACE, FL, 325711540, US | |||||||||||||||
|
Phone | +1 850-995-8811 |
Fax | 8509958810 |
Authorized person
Name | ANJU GARG |
Role | OWNER |
Phone | 8509958811 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GARG ANJU | Agent | 5553 HWY 90 WEST, PACE, FL, 32571 |
Name | Role | Address |
---|---|---|
GARG ANJU | President | 5553 HWY 90, PACE, FL, 32571 |
Name | Role | Address |
---|---|---|
GARG ANJU | Director | 5553 HWY 90, PACE, FL, 32571 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G08143900053 | WOODBINE AFFORDABLE CLINIC | EXPIRED | 2008-05-20 | 2013-12-31 | No data | 5606 WOODBINE ROAD, PACE, FL, 32571 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2009-02-04 | 5553 HWY 90 WEST, PACE, FL 32571 | No data |
CHANGE OF MAILING ADDRESS | 2009-02-04 | 5553 HWY 90 WEST, PACE, FL 32571 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2009-02-04 | 5553 HWY 90 WEST, PACE, FL 32571 | No data |
REGISTERED AGENT NAME CHANGED | 2008-03-07 | GARG, ANJU | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-30 |
ANNUAL REPORT | 2023-04-28 |
ANNUAL REPORT | 2022-04-30 |
ANNUAL REPORT | 2021-03-27 |
ANNUAL REPORT | 2020-06-29 |
ANNUAL REPORT | 2019-04-23 |
ANNUAL REPORT | 2018-04-01 |
ANNUAL REPORT | 2017-04-21 |
ANNUAL REPORT | 2016-03-13 |
ANNUAL REPORT | 2015-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State