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PREMIUM CARE MEDICAL ASSOCIATES INC

Company Details

Entity Name: PREMIUM CARE MEDICAL ASSOCIATES INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Mar 2009 (16 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: P09000022980
Address: 104 N EVERS STREET, SUITE 101, PLANT CITY, FL, 33563
Mail Address: 104 N EVERS STREET, SUITE 101, PLANT CITY, FL, 33563
ZIP code: 33563
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780825547 2009-03-09 2009-03-09 104 N EVERS ST, SUITE 101, PLANT CITY, FL, 335633300, US 104 N EVERS ST, SUITE 101, PLANT CITY, FL, 335633300, US

Contacts

Phone +1 813-659-2502

Authorized person

Name BRIAN S CLUKIE
Role PRESIDENT
Phone 8136592502

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
State FL
Is Primary Yes

Agent

Name Role Address
CLUKIE BRIAN S Agent 104 N EVERS STREET, PLANT CITY, FL, 33563

President

Name Role Address
CLUKIE BRIAN S President 104 N EVERS STREET STE 101, PLANT CITY, FL, 33563

Vice President

Name Role Address
CLUKIE LISA R Vice President 104 N EVERS STREET STE 101, PLANT CITY, FL, 33563

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
Domestic Profit 2009-03-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State