| Entity Name: | MARTIN ADULT HEALTHCARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 May 2012 (13 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P12000040673 |
| FEI/EIN Number | 45-5177220 |
| Address: | 8164 NW 122 LANE, PARKLAND, FL 33076 |
| Mail Address: | 5645 Coral Ridge Drive, #201, Coral Springs, FL 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598026585 | 2012-06-06 | 2012-06-06 | 8164 NW 122ND LN, PARKLAND, FL, 330764938, US | 8164 NW 122ND LN, PARKLAND, FL, 330764938, US | |||||||||||||||||
|
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| Phone | +1 561-289-9694 |
Authorized person
| Name | DR. ANDREW RYAN MARTIN |
| Role | PRESIDENT |
| Phone | 5612899694 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME109481 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTIN, ANDREW R | Agent | 8164 NW 122 LANE, PARKLAND, FL 33076 |
| Name | Role | Address |
|---|---|---|
| MARTIN, ANDREW | President | 8164 NW 122ND LANE, PARKLAND, FL 33076 |
| Name | Role | Address |
|---|---|---|
| Gastelbondo, Grace | General Manager | 5645 Coral Ridge Drive, #201 Coral Springs, FL 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-12 | 8164 NW 122 LANE, PARKLAND, FL 33076 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-12 |
| Domestic Profit | 2012-05-01 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
