| Entity Name: | COUNTRY DOCTOR MEDICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Jan 2007 (18 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P07000010388 |
| FEI/EIN Number | 300406016 |
| Address: | 480 MAPLEWOOD DR., SUITE 5, JUPITER, FL, 33458 |
| Mail Address: | 480 MAPLEWOOD DR., SUITE 5, JUPITER, FL, 33458 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053595850 | 2007-12-28 | 2008-10-03 | 932 MARLIN CIR, JUPITER, FL, 334584306, US | 11381 PROSPERITY FARMS RD, PALM BEACH GARDENS, FL, 334103403, US | |||||||||||||||||||||
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| Phone | +1 561-743-2342 |
| Fax | 8668962367 |
| Fax | 8008962367 |
Authorized person
| Name | DR. HAMILTON CARL PLATT III |
| Role | OWNER, PRESIDENT, CEO |
| Phone | 5617432342 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | ME59301 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANDERSON TIMOTHY | Agent | 480 MAPLEWOOD DR., SUITE 5, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| PLATT HAMILTON C | Director | 932 MARLIN CIR., JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REINSTATEMENT | 2010-08-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2010-08-18 |
| ANNUAL REPORT | 2008-09-03 |
| Domestic Profit | 2007-01-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
