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  5. ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A.

ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A.

Company Details

Entity Name: ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Dec 2004 (20 years ago)
Last Event: AMENDMENT
Event Date Filed: 27 Jul 2005 (20 years ago)
Document Number: P04000165089
FEI/EIN Number 201972604
Address: 362 Beal Parkway, Suite 105, FT WALTON BEACH, FL, 32548, US
Mail Address: 362 Beal Parkway, Suite 105, FT WALTON BEACH, FL, 32548, US
ZIP code: 32548
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578618104 2007-01-24 2017-10-03 362 BEAL PKWY NW STE 105, FORT WALTON BEACH, FL, 325483926, US 362 BEAL PKWY NW STE 105, FORT WALTON BEACH, FL, 325483926, US

Contacts
Phone +1 850-862-3020
Fax 8508621363

Authorized person
Name DR. JUSTIN CLARK
Role DIRECTOR
Phone 8508623020

Taxonomy
Taxonomy Code 207K00000X - Allergy & Immunology Physician
License Number OS9224
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. 401(K) PLAN 2023 201972604 2024-07-23 ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8508623020
Plan sponsor’s address 362 BEAL PARKWAY, SUITE 105, FORT WALTON BEACH, FL, 32548
ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. 401(K) PLAN 2022 201972604 2023-07-13 ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8508623020
Plan sponsor’s address 362 BEAL PARKWAY, SUITE 105, FORT WALTON BEACH, FL, 32548

Signature of
Role Plan administrator
Date 2023-07-13
Name of individual signing JUSTIN CLARK
Valid signature Filed with authorized/valid electronic signature
ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. 401(K) PLAN 2021 201972604 2022-06-30 ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8508623020
Plan sponsor’s address 362 BEAL PARKWAY, SUITE 105, FORT WALTON BEACH, FL, 32548
ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. 401(K) PLAN 2020 201972604 2021-08-17 ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8508623020
Plan sponsor’s address 362 BEAL PARKWAY, SUITE 105, FORT WALTON BEACH, FL, 32548

Signature of
Role Plan administrator
Date 2021-08-17
Name of individual signing JUSTIN CLARK
Valid signature Filed with authorized/valid electronic signature
ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. 401(K) PLAN 2019 201972604 2020-05-21 ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8508623020
Plan sponsor’s address 1025 N. BEAL PARKWAY, SUITE D, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2020-05-21
Name of individual signing JUSTIN CLARK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CLARK JUSTIN Agent 362 Beal Parkway, Suite 105, FT WALTON BEACH, FL, 32548

President

Name Role Address
CLARK JUSTIN D President 362 Beal Parkway, Suite 105, FT WALTON BEACH, FL, 32548

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-02-21 362 Beal Parkway, Suite 105, FT WALTON BEACH, FL 32548 No data
CHANGE OF MAILING ADDRESS 2016-02-21 362 Beal Parkway, Suite 105, FT WALTON BEACH, FL 32548 No data
REGISTERED AGENT ADDRESS CHANGED 2016-02-21 362 Beal Parkway, Suite 105, FT WALTON BEACH, FL 32548 No data
AMENDMENT 2005-07-27 No data No data
REGISTERED AGENT NAME CHANGED 2005-07-27 CLARK, JUSTIN No data
ARTICLES OF CORRECT-ION/NAME CHANGE 2004-12-29 ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-05-26
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-02-21
ANNUAL REPORT 2015-03-09

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CLARK JUSTIN D

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CLARK JUSTIN

CLARK COMPANIES LLC. CC LAND ENTERPRISES, LLC FRUITWOOD, LLC CLARK BROTHERS ACQUISITION COMPANY, LLC SOUTHSIDE PUNCH, INC. INTERNATIONAL ACTIVATOR, INC. RETAX, LLC CIGAR CITY CIDER LLC MEGA POSTCARD LLC SOUTHSIDE PUNCH, INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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