| Entity Name: | COVENANT MEDICAL CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 05 Jan 2009 (16 years ago) |
| Date of dissolution: | 29 Aug 2011 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Aug 2011 (13 years ago) |
| Document Number: | P09000000778 |
| FEI/EIN Number | 26-3985936 |
| Address: | 2812 W. MARTIN LUTHER KING JR. BLVD., SUITE 2, TAMPA, FL 33607 |
| Mail Address: | 2812 W. MARTIN LUTHER KING JR. BLVD., SUITE 2, TAMPA, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528380748 | 2010-02-16 | 2010-02-16 | 2812 W DR MARTIN LUTHER KING JR BLVD, SUITE 2, TAMPA, FL, 336076306, US | 2812 W DR MARTIN LUTHER KING JR BLVD, SUITE 2, TAMPA, FL, 336076306, US | |||||||||||||||||||
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| Phone | +1 813-874-0850 |
| Fax | 8138740590 |
Authorized person
| Name | MOBOLANLE FADARE |
| Role | OWNER |
| Phone | 8138740850 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | 126336 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FADARE, MOBOLANLE | Agent | 10923 CORY LAKE DRIVE, TAMPA, FL 33647 |
| Name | Role | Address |
|---|---|---|
| FADARE, MOBOLANLE | President | 10923 CORY LAKE DRIVE, TAMPA, FL 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2011-08-29 | No data | No data |
| ARTICLES OF CORRECT-ION/NAME CHANGE | 2009-01-14 | COVENANT MEDICAL CLINIC, INC. | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2011-08-29 |
| ANNUAL REPORT | 2011-02-23 |
| ANNUAL REPORT | 2010-03-18 |
| Article of Correction/NC | 2009-01-14 |
| Domestic Profit | 2009-01-05 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
