| Entity Name: | MOUNT GILEAD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Jun 2003 (22 years ago) |
| Date of dissolution: | 16 Sep 2005 (19 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 16 Sep 2005 (19 years ago) |
| Document Number: | P03000064068 |
| FEI/EIN Number | 593023547 |
| Address: | 18305 156TH STREET, LIVE OAK, FL, 32060 |
| Mail Address: | 18305 156TH STREET, LIVE OAK, FL, 32060 |
| ZIP code: | 32060 |
| County: | Suwannee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679868467 | 2011-06-09 | 2011-06-09 | 6817 SOUTHPOINT PKWY, SUITE 304, JACKSONVILLE, FL, 322166282, US | 6817 SOUTHPOINT PKWY, SUITE 304, JACKSONVILLE, FL, 322166282, US | |||||||||||||||||||||||||
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| Phone | +1 904-296-3113 |
| Fax | 9042963144 |
Authorized person
| Name | DR. THOMAS CAREY MERRITT |
| Role | PRESIDENT |
| Phone | 9042963113 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 603914 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE OF FLORIDA |
| Number | 603914 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DREIFUS JOE | Agent | 18960 24TH STREET, LIVE OAK, FL, 32060 |
| Name | Role | Address |
|---|---|---|
| JENKINS LAMAR | Director | 18305 156TH STREET, LIVE OAK, FL, 32060 |
| MCCOLLISTER EDWARD | Director | 18305 156TH STREET, LIVE OAK, FL, 32060 |
| EADY BILL | Director | 18305 156TH STREET, LIVE OAK, FL, 32060 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| CANCEL ADM DISS/REV | 2004-11-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2004-11-18 |
| Domestic Profit | 2003-06-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
