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THE CLARK CLINIC, INC. - Florida Company Profile

Company Details

Entity Name: THE CLARK CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

THE CLARK CLINIC, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 09 Oct 2002 (23 years ago)
Last Event: AMENDMENT
Event Date Filed: 11 Jan 2023 (2 years ago)
Document Number: P02000108873
FEI/EIN Number 542078370

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 212 SOUTH FLORIDA STREET, BUSHNELL, FL, 33513, US
Mail Address: 212 SOUTH FLORIDA STREET, BUSHNELL, FL, 33513, US
ZIP code: 33513
County: Sumter
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134873011 2022-02-09 2022-02-09 212 S FLA ST, BUSHNELL, FL, 335136703, US 10840 N US HIGHWAY 301, OXFORD, FL, 344843558, US

Contacts

Phone +1 352-793-2441
Phone +1 352-787-1600

Authorized person

Name LOWELL F. CLARK
Role MEDICAL DIRECTOR
Phone 3527932441

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Key Officers & Management

Name Role Address
CLARK LOWELL FMD President 212 SOUTH FLORIDA STREET, BUSHNELL, FL, 33513
CLARK LOWELL FMD Director 212 SOUTH FLORIDA STREET, BUSHNELL, FL, 33513
CLARK LOWELL FMD Treasurer 212 SOUTH FLORIDA STREET, BUSHNELL, FL, 33513
CLARK ELIZABETH E Vice President 212 SOUTH FLORIDA STREET, BUSHNELL, FL, 33513
CLARK LOWELL FMD Agent 212 SOUTH FLORIDA STREET, BUSHNELL,, FL, 33513

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000004195 CLARK HEALTH EXPIRED 2019-01-09 2024-12-31 - 212 SOUTH FLORIDA STREET, BUSHNELL, FL, 33513
G08009700017 CLARK CLINIC, INC. EXPIRED 2008-01-09 2013-12-31 - 212 SOUTH FLORIDA STREET, BUSHNELL, FL, 33513

Events

Event Type Filed Date Value Description
AMENDMENT 2023-01-11 - -
REGISTERED AGENT NAME CHANGED 2013-01-18 CLARK, LOWELL F, MD -

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-23
Amendment 2023-01-11
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-16
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-02-11
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-02-14

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
307846741 0420600 2004-05-28 212 S FLORIDA ST, BUSHNELL, FL, 33513
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 2004-05-29
Case Closed 2004-10-14

Related Activity

Type Complaint
Activity Nr 204889505
Health Yes

Date of last update: 01 Apr 2025

Sources: Florida Department of State