Entity Name: | 1ST CHOICE MEDICAL DETOX INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 16 Mar 2011 (14 years ago) |
Date of dissolution: | 25 Sep 2015 (9 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2015 (9 years ago) |
Document Number: | P11000026220 |
FEI/EIN Number | 275528796 |
Address: | 703 PINELLAS AVE SOUTH, TARPON SPRINGS, FL, 34689 |
Mail Address: | 703 PINELLAS AVE SOUTH, TARPON SPRINGS, FL, 34689 |
ZIP code: | 34689 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1619275856 | 2011-03-12 | 2011-03-12 | 703 S PINELLAS AVE, TARPON SPRINGS, FL, 346893709, US | 703 S PINELLAS AVE, TARPON SPRINGS, FL, 346893709, US | |||||||||||||||||||
|
Phone | +1 727-940-3478 |
Fax | 7279403480 |
Authorized person
Name | MARINA V KULICK |
Role | PRESIDENT |
Phone | 7279403478 |
Taxonomy
Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
License Number | ME 103499 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KULICK MARINA | Agent | 703 PINELLAS AVE SOUTH, TARPON SPRINGS, FL, 34689 |
Name | Role | Address |
---|---|---|
KULICK MARINA | President | 703 PINELLAS AVE SOUTH, TARPON SPRINGS, FL, 34689 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G13000026401 | AURORA AESTHETIC MEDICINE AND WELLNESS CLINIC | EXPIRED | 2013-03-17 | 2018-12-31 | No data | 703 S. PINELLAS AVE, TARPON SPRINGS, FL, 34689 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2014-02-25 |
ANNUAL REPORT | 2013-02-01 |
ANNUAL REPORT | 2012-01-06 |
Domestic Profit | 2011-03-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State