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GLORY CENTER, P.A.

Company Details

Entity Name: GLORY CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Sep 2007 (17 years ago)
Document Number: P07000099055
FEI/EIN Number 260846589
Address: 5622 MARINE PARKWAY, NEW PORT RICHEY, FL, 34652, US
Mail Address: 5622 MARINE PARKWAY, NEW PORT RICHEY, FL, 34652, US
ZIP code: 34652
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558617399 2012-07-31 2013-02-05 6641 MADISON ST, SUITE 3, NEW PORT RICHEY, FL, 346521966, US 6641 MADISON ST, SUITE 3, NEW PORT RICHEY, FL, 346521966, US

Contacts

Phone +1 727-232-0826
Fax 7275978487

Authorized person

Name DAVID O IKUDAYISI
Role OWNER/PRESIDENT
Phone 8134952234

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
State FL
Is Primary Yes

Agent

Name Role Address
WALKER GARY E Agent 401 E. Jackson Street, TAMPA, FL, 33602

President

Name Role Address
IKUDAYISI DAVID ODr. President 6641 MADISON STREET, NEW PORT RICHEY, FL, 34652

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000040580 GLORY WEIGHT LOSS CLINIC EXPIRED 2013-04-28 2018-12-31 No data 8019 NORTH HIMES AVENUE, SUITE 200, TAMPA, FL, 33614
G12000103353 GLORY MEDICAL CENTER & WEIGHT LOSS CLINIC EXPIRED 2012-10-24 2017-12-31 No data 6641 MADISON STREET, SUITE #3, NEW PORT RICHEY, FL, 34652

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-09-12 5622 MARINE PARKWAY, NEW PORT RICHEY, FL 34652 No data
CHANGE OF MAILING ADDRESS 2024-09-12 5622 MARINE PARKWAY, NEW PORT RICHEY, FL 34652 No data
REGISTERED AGENT ADDRESS CHANGED 2020-02-19 401 E. Jackson Street, SUITE 3100, TAMPA, FL 33602 No data

Documents

Name Date
ANNUAL REPORT 2024-02-26
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-03-31
ANNUAL REPORT 2021-03-26
ANNUAL REPORT 2020-02-19
ANNUAL REPORT 2019-02-15
ANNUAL REPORT 2018-03-04
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-01-23
ANNUAL REPORT 2015-04-13

Date of last update: 02 Feb 2025

Sources: Florida Department of State