| Entity Name: | CAMMACK CLINIC, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Aug 2007 (17 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P07000091695 |
| FEI/EIN Number | 260732790 |
| Address: | 7552 NAVARRE PARKWAY, UNIT 45, NAVARRE, FL, 32566 |
| Mail Address: | 7552 NAVARRE PARKWAY, UNIT 45, NAVARRE, FL, 32566 |
| ZIP code: | 32566 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275858870 | 2010-04-07 | 2010-04-07 | 7552 NAVARRE PKWY UNIT 45, NAVARRE, FL, 325667309, US | 7552 NAVARRE PKWY UNIT 45, NAVARRE, FL, 325667309, US | |||||||||||||||||
|
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| Phone | +1 850-936-9665 |
Authorized person
| Name | DR. ANTHONY JEROME CAMMACK |
| Role | OWNER |
| Phone | 8509369665 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 0069924 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CAMMACK ANTHONY JMD | Agent | 7220 REEF ST, NAVARRE, FL, 32566 |
| Name | Role | Address |
|---|---|---|
| CAMMACK ANTHONY JMD | President | 7220 REEF ST, NAVARRE, FL, 32566 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-10 | 7220 REEF ST, NAVARRE, FL 32566 | No data |
| REINSTATEMENT | 2013-03-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-03-22 | CAMMACK, ANTHONY J, MD | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-07-17 |
| ANNUAL REPORT | 2022-08-30 |
| ANNUAL REPORT | 2021-02-13 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-03-23 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-03-24 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-04-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
