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BAYWAY MEDICAL CLINIC, INC.

Company Details

Entity Name: BAYWAY MEDICAL CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 09 Apr 2008 (17 years ago)
Date of dissolution: 27 May 2009 (16 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 27 May 2009 (16 years ago)
Document Number: P08000036605
FEI/EIN Number NOT APPLICABLE
Address: 5901 SUN BLVD, 113, ST. PETERSBURG, FL, 33715
Mail Address: 5901 SUN BLVD, 113, ST. PETERSBURG, FL, 33715
ZIP code: 33715
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447426002 2008-05-05 2008-08-29 5901 SUN BLVD, #113, ST PETERSBURG, FL, 337151166, US 5901 SUN BLVD, #113, ST PETERSBURG, FL, 337151166, US

Contacts

Phone +1 727-867-7910
Fax 7278676379

Authorized person

Name DR. SCOTT H PLANTZ
Role DIRECTOR
Phone 7278677910

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number ME67437
State FL
Is Primary No
Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
License Number ME67437
State FL
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Director

Name Role Address
COLE JESSE A Director 401 SOUTH ALABAMA, SUITE 6B, BUTTE, MT, 59701

President

Name Role Address
COLE JESSE A President 401 SOUTH ALABAMA, SUITE 6B, BUTTE, MT, 59701

Secretary

Name Role Address
COLE JESSE A Secretary 401 SOUTH ALABAMA, SUITE 6B, BUTTE, MT, 59701

Treasurer

Name Role Address
COLE JESSE A Treasurer 401 SOUTH ALABAMA, SUITE 6B, BUTTE, MT, 59701

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2009-05-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-01-10 5901 SUN BLVD, 113, ST. PETERSBURG, FL 33715 No data
CHANGE OF MAILING ADDRESS 2009-01-10 5901 SUN BLVD, 113, ST. PETERSBURG, FL 33715 No data

Documents

Name Date
Voluntary Dissolution 2009-05-27
ANNUAL REPORT 2009-01-10
Domestic Profit 2008-04-09

Date of last update: 02 Jan 2025

Sources: Florida Department of State