| Entity Name: | PALM COAST INTERNAL MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 11 Aug 2003 (21 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P03000088803 |
| FEI/EIN Number | 83-0368633 |
| Address: | 21 HOSPITAL DRIVE, SUITE 280, PALM COAST, FL 32164 |
| Mail Address: | 2730 N. STATE RD 7, MARGATE, FL 33069 |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| LEVENTHAL, JERRY | Agent | 10 HANOVER DRIVE, FLAGLER BEACH, FL 32136 |
| Name | Role | Address |
|---|---|---|
| LEVENTHAL, JERRY, M.D. | President | 10 HANOVER DRIVE, FLAGLER BCH, FL 32136 |
| Name | Role | Address |
|---|---|---|
| LEVENTHAL, JERRY, M.D. | Treasurer | 10 HANOVER DRIVE, FLAGLER BCH, FL 32136 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000031914 | ISLAND DOCTORS WEST PALM COAST | EXPIRED | 2014-03-31 | 2019-12-31 | No data | 2730 NORTH ROAD 7, MARGATE, FL, 33063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-08-06 | LEVENTHAL, JERRY | No data |
| AMENDMENT | 2015-08-06 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-08-06 | 10 HANOVER DRIVE, FLAGLER BEACH, FL 32136 | No data |
| AMENDMENT | 2014-04-15 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-15 | 21 HOSPITAL DRIVE, SUITE 280, PALM COAST, FL 32164 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-17 | 21 HOSPITAL DRIVE, SUITE 280, PALM COAST, FL 32164 | No data |
| NAME CHANGE AMENDMENT | 2003-11-10 | PALM COAST INTERNAL MEDICINE, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-06-13 |
| Amendment | 2015-08-06 |
| ANNUAL REPORT | 2015-04-30 |
| Amendment | 2014-04-15 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-18 |
| ANNUAL REPORT | 2012-01-16 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-07 |
| ANNUAL REPORT | 2009-01-17 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
