| Entity Name: | GOMEZ PERSONAL INJURY CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Jul 2005 (20 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: | P05000100200 |
| FEI/EIN Number | 205610280 |
| Address: | 4602 N ARMENIA AVE STE D1, TAMPA, FL, 33603, US |
| Mail Address: | 4602 N ARMENIA AVE STE D1, TAMPA, FL, 33603, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780731463 | 2007-01-04 | 2008-05-09 | 4602 N ARMENIA AVE, TAMPA, FL, 336032703, US | 4602 N ARMENIA AVE, TAMPA, FL, 336032703, US | |||||||||||||||||||||
|
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| Phone | +1 813-876-1690 |
| Fax | 8138761653 |
| Fax | 8138761690 |
Authorized person
| Name | MR. EULOGIO DAVID GOMEZ I |
| Role | PRESIDENT |
| Phone | 8138761690 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC6681 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROQUE ODAMIS | Agent | 4602 N ARMENIA AVE STE D1, TAMPA, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| ROQUE ODAMIS | President | 4602 N ARMENIA AVE STE D1, TAMPA, FL, 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2009-06-16 | 4602 N ARMENIA AVE STE D1, TAMPA, FL 33603 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-06-16 | ROQUE, ODAMIS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-03-05 | 4602 N ARMENIA AVE STE D1, TAMPA, FL 33603 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-11-21 | 4602 N ARMENIA AVE STE D1, TAMPA, FL 33603 | No data |
| AMENDMENT | 2007-11-21 | No data | No data |
| AMENDMENT | 2005-09-12 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-14 |
| ANNUAL REPORT | 2010-04-16 |
| ANNUAL REPORT | 2009-06-16 |
| ANNUAL REPORT | 2008-03-05 |
| Amendment | 2007-11-21 |
| ANNUAL REPORT | 2007-05-22 |
| ANNUAL REPORT | 2006-09-07 |
| Amendment | 2005-09-12 |
| Domestic Profit | 2005-07-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
