Entity Name: | SANDERS COMPREHENSIVE CLINIC INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 10 Jun 2011 (14 years ago) |
Date of dissolution: | 28 Sep 2018 (6 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2018 (6 years ago) |
Document Number: | P11000054592 |
FEI/EIN Number | 452491201 |
Address: | 1834 N Alafaya Trail, Orlando, FL, 32826, US |
Mail Address: | 1834 N Alafaya Trail, Suite B, Orlando, FL, 32826, US |
ZIP code: | 32826 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1538446414 | 2011-11-07 | 2011-11-07 | 7750 PALM RIVER RD, TAMPA, FL, 336194215, US | 7750 PALM RIVER RD, TAMPA, FL, 336194215, US | |||||||||||||||||||||||||
|
Phone | +1 813-635-9611 |
Fax | 8136350211 |
Authorized person
Name | SANDRA ELAINE FFRENCH-ROSE |
Role | CEO |
Phone | 8136359611 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
License Number | 2602032 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 302385100 |
State | FL |
Name | Role | Address |
---|---|---|
French Rose CEO | Agent | 1834 N Alafaya Trail, Orlando, FL, 32826 |
Name | Role | Address |
---|---|---|
FRENCH-ROSE SANDRA E | Othe | 1834 N Alafaya Trail, Orlando, FL, 32826 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2017-04-11 | 1834 N Alafaya Trail, Orlando, FL 32826 | No data |
REGISTERED AGENT NAME CHANGED | 2017-04-11 | French , Rose, CEO | No data |
CHANGE OF MAILING ADDRESS | 2015-08-03 | 1834 N Alafaya Trail, Orlando, FL 32826 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2015-08-03 | 1834 N Alafaya Trail, Suite B, Orlando, FL 32826 | No data |
REINSTATEMENT | 2015-06-10 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2017-04-11 |
ANNUAL REPORT | 2016-04-30 |
AMENDED ANNUAL REPORT | 2015-08-03 |
REINSTATEMENT | 2015-06-10 |
ANNUAL REPORT | 2012-04-29 |
Domestic Profit | 2011-06-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State