| Entity Name: | FLORIDA MED CLINIC OF CLEARWATER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FLORIDA MED CLINIC OF CLEARWATER, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 16 Dec 2009 (15 years ago) |
| Date of dissolution: | 28 Sep 2012 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (13 years ago) |
| Document Number: | P09000100833 |
| FEI/EIN Number |
593381344
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1840 N. HIGHLAND AVENUE, CLEARWATER, FL, 33755 |
| Mail Address: | 1840 N. HIGHLAND AVENUE, CLEARWATER, FL, 33755 |
| ZIP code: | 33755 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760712848 | 2010-01-12 | 2010-01-12 | 1840 N HIGHLAND AVE, CLEARWATER, FL, 337552138, US | 1840 N HIGHLAND AVE, CLEARWATER, FL, 337552138, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-442-3001 |
| Fax | 7274679106 |
Authorized person
| Name | DR. ALI SAIFI |
| Role | PRESIDENT |
| Phone | 7274423001 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 251380300 |
| State | FL |
| Issuer | BLUE SHIELD |
| Number | 40847 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SAIFI ALI | President | 1840 N. HIGHLAND AVENUE, CLEARWATER, FL, 33755 |
| SAIFI ALI | Secretary | 1840 N. HIGHLAND AVENUE, CLEARWATER, FL, 33755 |
| SAIFI ALI | Treasurer | 1840 N. HIGHLAND AVENUE, CLEARWATER, FL, 33755 |
| SAIFI ALI | Agent | 1840 N. HIGHLAND AVENUE, CLEARWATER, FL, 33755 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-24 |
| Domestic Profit | 2009-12-16 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
