| Entity Name: | COLLIER COUNTY MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Jul 2008 (17 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P08000067324 |
| FEI/EIN Number | 263001990 |
| Address: | 870 111TH AVE NORTH, NAPLES, FL, 34108, US |
| Mail Address: | 870 111TH AVE NORTH, NAPLES, FL, 34108, US |
| ZIP code: | 34108 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437307170 | 2008-09-06 | 2008-09-16 | 870 111TH AVE N, SUITE 2, NAPLES, FL, 341081869, US | 870 111TH AVE N, SUITE 2, NAPLES, FL, 341081869, US | |||||||||||||||||||
|
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| Phone | +1 239-566-1332 |
| Fax | 2395661332 |
Authorized person
| Name | DR. MOHSIN ZAFAR |
| Role | PRESIDENT |
| Phone | 2395661332 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME 102512 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| INCORPORATE USA, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| ZAFAR MOHSIN | President | 870 111TH AVE NORTH, NAPLES, FL, 34108 |
| Name | Role | Address |
|---|---|---|
| ZAFAR MOHSIN | Secretary | 870 111TH AVE NORTH, NAPLES, FL, 34108 |
| Name | Role | Address |
|---|---|---|
| ZAFAR MOHSIN | Treasurer | 870 111TH AVE NORTH, NAPLES, FL, 34108 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-18 | 870 111TH AVE NORTH, STE 2, NAPLES, FL 34108 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-18 | 870 111TH AVE NORTH, STE 2, NAPLES, FL 34108 | No data |
| REINSTATEMENT | 2012-05-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-03-18 |
| ANNUAL REPORT | 2013-03-24 |
| REINSTATEMENT | 2012-05-04 |
| Domestic Profit | 2008-07-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
