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1ST CHOICE MEDICAL DETOX INC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
KULICK MARINA Agent 703 PINELLAS AVE SOUTH, TARPON SPRINGS, FL, 34689

President

Name Role Address
KULICK MARINA President 703 PINELLAS AVE SOUTH, TARPON SPRINGS, FL, 34689

Fictitious Names

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

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Documents

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