| Entity Name: | FIRST CHOICE PERSONAL INJURY CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Aug 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: | P04000113033 |
| FEI/EIN Number | 201457605 |
| Address: | 2916 W WATERS AVE.,, SUITE A-2, TAMPA, FL, 33614 |
| Mail Address: | 2916 W WATERS AVE.,, SUITE A-2, TAMPA, FL, 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558583112 | 2007-05-03 | 2020-08-22 | 2916 W WATERS AVE, STE A-2, TAMPA, FL, 33614, US | 2916 W WATERS AVE, STE A-2, TAMPA, FL, 33614, US | |||||||||||||||||||
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| Phone | +1 813-931-1750 |
| Fax | 8139311757 |
Authorized person
| Name | MR. DAVID QUINONES |
| Role | BILLING DEPARTMENT |
| Phone | 8139311750 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| License Number | HCC6040 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| QUINONES-PEREZ WILFRED S | Agent | 2916 W WATERS AVE, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| QUINONES WILFRED P | President | 2916 W WATERS AVE , SUITE A-2, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| QUINONES DAVID A | Secretary | 2916 W WATERS AVE, SUITE A-2, TAMPA, FL, 33604 |
| QUINONES WILFRED J | Secretary | 2916 W WATERS AVE, SUITE A-2, TAMPA, FL, 33604 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12001114241 | ACTIVE | 1000000436765 | HILLSBOROU | 2012-12-19 | 2032-12-28 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J12000871932 | ACTIVE | 1000000343020 | HILLSBOROU | 2012-10-18 | 2032-11-28 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-21 |
| ANNUAL REPORT | 2010-04-22 |
| ANNUAL REPORT | 2009-04-23 |
| ANNUAL REPORT | 2008-01-11 |
| ANNUAL REPORT | 2007-01-10 |
| ANNUAL REPORT | 2006-01-13 |
| ANNUAL REPORT | 2005-07-07 |
| Domestic Profit | 2004-08-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
