Entity Name: | AFTER HOURS PEDIATRICS OF OCALA INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 16 Jul 2008 (17 years ago) |
Date of dissolution: | 24 Sep 2010 (14 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 24 Sep 2010 (14 years ago) |
Document Number: | P08000067522 |
FEI/EIN Number | 263002643 |
Address: | 106 SW 17TH ST., OCALA, FL, 34471-8140 |
Mail Address: | 106 SW 17TH ST., OCALA, FL, 34471-8140 |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639315666 | 2008-12-22 | 2008-12-22 | 106 SW 17TH ST, OCALA, FL, 344718140, US | 106 SW 17TH ST, OCALA, FL, 344718140, US | |||||||||||||||||||||||||||||||||||||||
|
Phone | +1 352-789-6655 |
Fax | 3524332489 |
Authorized person
Name | DR. ADEBAYO ODUNLAMI |
Role | MEDICAL DIRECTOR |
Phone | 3527896655 |
Taxonomy
Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 263160100 |
State | FL |
Issuer | PERSONAL NPI # |
Number | 1326000456 |
State | FL |
Issuer | MEDICAID |
Number | 000044900 |
State | FL |
Issuer | PERSONAL NPI # |
Number | 1437188125 |
State | FL |
Name | Role | Address |
---|---|---|
OKONKWO MARTIN | Agent | 1800 SE 32ND AVE, OCALA, FL, 34471 |
Name | Role | Address |
---|---|---|
OKONKWO MARTIN | President | 1800 SE 32ND AVE, OCALA, FL, 34471 |
Name | Role | Address |
---|---|---|
ODUNLAMI ADEBAYO | Vice President | 106 SW 17TH ST, OCALA, FL, 34471 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2008-10-28 | 106 SW 17TH ST., OCALA, FL 34471-8140 | No data |
CHANGE OF MAILING ADDRESS | 2008-10-28 | 106 SW 17TH ST., OCALA, FL 34471-8140 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2009-04-23 |
Domestic Profit | 2008-07-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State