Entity Name: | QUALITY PRIMARY CARE, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 18 Oct 2010 (14 years ago) |
Date of dissolution: | 28 Sep 2012 (12 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2012 (12 years ago) |
Document Number: | P10000084848 |
FEI/EIN Number | NOT APPLICABLE |
Address: | 11048-9 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32216 |
Mail Address: | 11048-9 BAYMEADOWS RD, JACKSONVILLE, FL, 32256 |
ZIP code: | 32216 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1245525518 | 2011-06-15 | 2011-06-23 | 11048-9 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32256, US | 11048 BAYMEADOWS RD, STE 9, JACKSONVILLE, FL, 322569699, US | |||||||||||||||||||
|
Phone | +1 904-854-7911 |
Fax | 9048547912 |
Authorized person
Name | NICHOLAS DODARO |
Role | PRESIDENT |
Phone | 9048547911 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | P10000084848 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
NULAND CHRISTOPHER L | Agent | 1000 RIVERSIDE AVENUE, JACKSONVILLE, FL, 32204 |
Name | Role | Address |
---|---|---|
SHUMER MICHAEL | Chief Executive Officer | 11048-9 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32256 |
Name | Role | Address |
---|---|---|
DODARO NICHOLAS R | President | 11048-9 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32256 |
Name | Role | Address |
---|---|---|
WILLIS DEBRA K | Secretary | 11048-9 BAYMEADOWS ROAD, JACKSONVILLE, FL, 32256 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
AMENDMENT AND NAME CHANGE | 2011-04-15 | QUALITY PRIMARY CARE, P.A. | No data |
CHANGE OF MAILING ADDRESS | 2011-04-15 | 11048-9 BAYMEADOWS ROAD, JACKSONVILLE, FL 32216 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2011-04-26 |
Amendment and Name Change | 2011-04-15 |
Domestic Profit | 2010-10-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State