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FIRST COAST PHYSICAL MEDICINE, INC. - Florida Company Profile

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Company Details

Entity Name: FIRST COAST PHYSICAL MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 22 Nov 2005 (20 years ago)
Date of dissolution: 24 Sep 2010 (15 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2010 (15 years ago)
Document Number: P05000154791
FEI/EIN Number 542187997
Address: 13850 SW 100TH AVENUE, MIAMI, FL, 33176
Mail Address: 13850 SW 100TH AVENUE, MIAMI, FL, 33176
ZIP code: 33176
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WALLACH RICHARD S Director 13850 SW 100 AVENUE, MIAMI, FL, 33176
WALLACH RICHARD S Agent 13850 SW 100 AVENUE, MIAMI, FL, 33176

National Provider Identifier

NPI Number:
1467550525

Authorized Person:

Name:
MS. JANET L. STEPHENS
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9047277737

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2009-04-27 13850 SW 100TH AVENUE, MIAMI, FL 33176 -
CHANGE OF MAILING ADDRESS 2009-04-27 13850 SW 100TH AVENUE, MIAMI, FL 33176 -
REGISTERED AGENT NAME CHANGED 2006-09-13 WALLACH, RICHARD SPRES. -
REGISTERED AGENT ADDRESS CHANGED 2006-09-13 13850 SW 100 AVENUE, MIAMI, FL 33176 -

Documents

Name Date
ANNUAL REPORT 2009-04-27
ANNUAL REPORT 2008-04-08
ANNUAL REPORT 2007-01-05
ANNUAL REPORT 2006-09-13
ANNUAL REPORT 2006-04-20
Domestic Profit 2005-11-22

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Date of last update: 01 Aug 2025

Sources: Florida Department of State