| Entity Name: | CLARK FAMILY MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Mar 2004 (21 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 May 2016 (9 years ago) |
| Document Number: | P04000045253 |
| FEI/EIN Number | 200901097 |
| Address: | 12815 HIGHWAY 98 WEST, SUITE 116, MIRAMAR BEACH, FL, 32550 |
| Mail Address: | 12815 HIGHWAY 98 WEST, SUITE 116, MIRAMAR BEACH, FL, 32550 |
| ZIP code: | 32550 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| Clark Lisa B | Agent | 12815 HWY 98 W, DESTIN, FL, 32550 |
| Name | Role | Address |
|---|---|---|
| CLARK LISA | President | 12815 HIGHWAY 98 WEST, SUITE 116, DESTIN, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| CLARK LISA | Treasurer | 12815 HIGHWAY 98 WEST, SUITE 116, DESTIN, FL, 32541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-05-13 | Clark, Lisa Bardy | No data |
| REINSTATEMENT | 2016-05-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2013-11-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-27 | 12815 HWY 98 W, SUITE 116, DESTIN, FL 32550 | No data |
| CHANGE OF MAILING ADDRESS | 2007-03-19 | 12815 HIGHWAY 98 WEST, SUITE 116, MIRAMAR BEACH, FL 32550 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-19 | 12815 HIGHWAY 98 WEST, SUITE 116, MIRAMAR BEACH, FL 32550 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-17 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-05-14 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-04-21 |
| REINSTATEMENT | 2016-05-13 |
| ANNUAL REPORT | 2014-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
