| Entity Name: | DR PATRICK J FULLERTON INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DR PATRICK J FULLERTON INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 May 2012 (13 years ago) |
| Date of dissolution: | 26 Sep 2014 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (11 years ago) |
| Document Number: | P12000042165 |
| FEI/EIN Number |
455207812
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 5542 BROOKLINE DR, ORLANDO, FL, 32819, US |
| Address: | 2441 S. Hiawassee Road, Orlando, FL, 32835, US |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962743450 | 2013-03-07 | 2013-07-22 | 2441 S HIAWASSEE RD, ORLANDO, FL, 328356347, US | 2441 S HIAWASSEE RD, ORLANDO, FL, 328356347, US | |||||||||||||||||||||||||||
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| Phone | +1 407-378-6339 |
| Fax | 4073786466 |
| Fax | 4013786466 |
Authorized person
| Name | PATRICK J FULLERTON |
| Role | OWNER |
| Phone | 4077545077 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | OS8087 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 271297100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FULLERTON PATRICK J | President | 5542 BROOKLINE DR, ORLANDO, FL, 32819 |
| JENNELLE STEPHEN D | Agent | 37009 CALHOUN RD, EUSTIS, FL, 32736 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000002575 | STATMEDX URGENT CARE | EXPIRED | 2013-01-07 | 2018-12-31 | - | 5542 BROOKLINE DR, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-11-04 | 2441 S. Hiawassee Road, Orlando, FL 32835 | - |
| REINSTATEMENT | 2013-10-01 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| Name | Date |
|---|---|
| Domestic Profit | 2012-05-04 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
