Entity Name: | SONSHINE AMBULATORY CARE CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 02 Jan 2004 (21 years ago) |
Date of dissolution: | 14 Sep 2007 (17 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 14 Sep 2007 (17 years ago) |
Document Number: | P04000003273 |
FEI/EIN Number | 841633360 |
Address: | 1405 SE GOLDTREE DRIVE, SUITE #C, PORT ST. LUCIE, FL, 34952, US |
Mail Address: | 1405 SE GOLDTREE DRIVE, SUITE #C, PORT ST. LUCIE, FL, 34952, US |
ZIP code: | 34952 |
County: | St. Lucie |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1336187988 | 2006-06-04 | 2020-08-22 | 1405 SE GOLDTREE DR, SUITE # C, PORT ST LUCIE, FL, 349527563, US | 1405 SE GOLDTREE DR, SUITE # C, PORT ST LUCIE, FL, 349527563, US | |||||||||||||||||
|
Phone | +1 772-380-0900 |
Authorized person
Name | DR. LORETHA KING |
Role | PHYSICIAN/OWNER |
Phone | 7723080900 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
License Number | OS8310 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KING LORETHA D | Agent | 1405 SE GOLDTREE DRIVE, PORT ST. LUCIE, FL, 34952 |
Name | Role | Address |
---|---|---|
KING LORETHA D | President | 1405 SE GOLDTREE DRIVE, SUITE #C, PORT ST. LUCIE, FL, 34952 |
Name | Role | Address |
---|---|---|
D'ERRICO ALBERT A | Vice President | 1405 SE GOLDTREE DRIVE, SUITE #C, PORT ST. LUCIE, FL, 34952 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
AMENDMENT | 2005-10-14 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2005-10-14 | 1405 SE GOLDTREE DRIVE, SUITE #C, PORT ST. LUCIE, FL 34952 | No data |
CHANGE OF MAILING ADDRESS | 2005-10-14 | 1405 SE GOLDTREE DRIVE, SUITE #C, PORT ST. LUCIE, FL 34952 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2005-10-14 | 1405 SE GOLDTREE DRIVE, SUITE # 6, PORT ST. LUCIE, FL 34952 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2006-08-07 |
Amendment | 2005-10-14 |
ANNUAL REPORT | 2005-04-27 |
Domestic Profit | 2004-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State