| Entity Name: | ASSOCIATE MEDICAL MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Mar 2004 (21 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P04000056227 |
| FEI/EIN Number | 200999423 |
| Address: | 1713 MANOR DR NE, PALM BAY, FL, 32905 |
| Mail Address: | P.O. BOX 61616, PALM BAY, FL, 32906 |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295752053 | 2006-07-17 | 2008-06-26 | 2105 PALM BAY RD NE, SUITE 1-W, PALM BAY, FL, 329052937, US | 2105 PALM BAY RD NE, SUITE 1-W, PALM BAY, FL, 329052937, US | |||||||||||||||
|
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| Phone | +1 321-327-5910 |
| Fax | 3213275912 |
Authorized person
| Name | MORRIS EVANS |
| Role | PRESIDENT |
| Phone | 3213275910 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EVANS LENA | Agent | 1713 MANOR DRIVE NE, PALM BAY, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| EVANS MORRIS | President | 1713 MANOR DRIVE NE, PALM BAY, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| EVANS MORRIS | Chief Executive Officer | 1713 MANOR DRIVE NE, PALM BAY, FL, 32905 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08087900037 | COMMUNITY WALK-IN CLINIC | EXPIRED | 2008-03-24 | 2013-12-31 | No data | 2105 PALM BAY ROAD NE, #1-W, PALM BAY, FL, 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-30 | 1713 MANOR DR NE, PALM BAY, FL 32905 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-30 | 1713 MANOR DR NE, PALM BAY, FL 32905 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-23 | EVANS, LENA | No data |
| CANCEL ADM DISS/REV | 2006-01-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-30 |
| ANNUAL REPORT | 2010-05-02 |
| ANNUAL REPORT | 2009-04-23 |
| ANNUAL REPORT | 2008-09-01 |
| ANNUAL REPORT | 2007-07-29 |
| REINSTATEMENT | 2006-01-22 |
| Domestic Profit | 2004-03-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
