| Entity Name: | MEDLOCK INSTITUTE FOR SNORING AND SLEEP APNEA, PA. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 20 Jun 2011 (14 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P11000057284 |
| FEI/EIN Number | 45-2583250 |
| Address: | 2326 S CONGRESS AVE SUITE 1-D, WEST PALM BEACH, FL 33406 |
| Mail Address: | 2326 S CONGRESS AVE SUITE 1-D, WEST PALM BEACH, FL 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366720187 | 2011-07-27 | 2011-07-27 | 2326 S CONGRESS AVE, SUITE 1- D, WEST PALM BEACH, FL, 334067617, US | 2326 S CONGRESS AVE, SUITE 1- D, WEST PALM BEACH, FL, 334067617, US | |||||||||||||||||
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| Phone | +1 561-439-4620 |
Authorized person
| Name | DR. JAMES MEDLOCK |
| Role | PRESIDENT |
| Phone | 5614394620 |
Taxonomy
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| License Number | 10346 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NEWMAN, LARRY | Agent | 6801 LAKE WORTH RD SUITE 119, LAKE WORTH, FL 33467 |
| Name | Role | Address |
|---|---|---|
| MEDLOCK, JAMES W | Director | 2326 S CONGRESS AVE SUITE 1-D, WEST PALM BEACH, FL 33406 |
| Name | Role | Address |
|---|---|---|
| MEDLOCK, JAMES W | President | 2326 S CONGRESS AVE SUITE 1-D, WEST PALM BEACH, FL 33406 |
| Name | Role | Address |
|---|---|---|
| MEDLOCK, JAMES W | Secretary | 2326 S CONGRESS AVE SUITE 1-D, WEST PALM BEACH, FL 33406 |
| Name | Role | Address |
|---|---|---|
| MEDLOCK, JAMES W | Treasurer | 2326 S CONGRESS AVE SUITE 1-D, WEST PALM BEACH, FL 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-02-01 |
| Domestic Profit | 2011-06-20 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
