Entity Name: | FAMILY MEDICINE CLINICS OF SOUTH FLORIDA, PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 20 Jun 2002 (23 years ago) |
Date of dissolution: | 24 Sep 2010 (14 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 24 Sep 2010 (14 years ago) |
Document Number: | P02000068651 |
FEI/EIN Number | 010727005 |
Address: | 3170 NORTH FEDERAL HIGHWAY, SUITE 214, LIGHTHOUSE POINT, FL, 33064 |
Mail Address: | 3170 NORTH FEDERAL HIGHWAY, SUITE 214, LIGHTHOUSE POINT, FL, 33064 |
ZIP code: | 33064 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1801940945 | 2007-01-23 | 2009-07-27 | 717 BROADWAY, DUNEDIN, FL, 346986912, US | 717 BROADWAY, DUNEDIN, FL, 346986912, US | |||||||||||||||||||
|
Phone | +1 954-745-7999 |
Fax | 9543373199 |
Authorized person
Name | JONATHAN S WARE |
Role | PRESIDENT |
Phone | 9547457999 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | ME84821 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WARE JONATHAN S | Agent | 717 BROADWAY, DUNEDIN, FL, 34698 |
Name | Role | Address |
---|---|---|
WARE JONATHAN S | Director | 717 BROADWAY, DUNEDIN, FL, 34698 |
Name | Role | Address |
---|---|---|
WARE JONATHAN S | President | 717 BROADWAY, DUNEDIN, FL, 34698 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2009-09-11 | 3170 NORTH FEDERAL HIGHWAY, SUITE 214, LIGHTHOUSE POINT, FL 33064 | No data |
CHANGE OF MAILING ADDRESS | 2009-09-11 | 3170 NORTH FEDERAL HIGHWAY, SUITE 214, LIGHTHOUSE POINT, FL 33064 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2009-09-11 | 717 BROADWAY, DUNEDIN, FL 34698 | No data |
REGISTERED AGENT NAME CHANGED | 2004-05-06 | WARE, JONATHAN SMD | No data |
REINSTATEMENT | 2004-05-06 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J10000754629 | LAPSED | 10-06657 (55) | BROWARD COUNTY COUNTY COURT | 2010-03-09 | 2015-07-14 | $10,543.36 | DE LAGE LANDEN FINANCIAL SERVICES, INC., 1111 OLD EAGLE SCHOOL RD, WAYNE, PA 19087 |
Name | Date |
---|---|
ANNUAL REPORT | 2009-09-11 |
ANNUAL REPORT | 2008-03-20 |
ANNUAL REPORT | 2007-01-08 |
ANNUAL REPORT | 2006-01-11 |
ANNUAL REPORT | 2005-03-02 |
REINSTATEMENT | 2004-05-06 |
Domestic Profit | 2002-06-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State