| Entity Name: | BUCHANAN PHYSICAL MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Aug 2014 (10 years ago) |
| Document Number: | P14000065131 |
| FEI/EIN Number | 47-1522625 |
| Address: | 9836 HIGHWAY 441, LEESBURG, FL 34788 |
| Mail Address: | 9836 HIGHWAY 441, LEESBURG, FL 34788 |
| ZIP code: | 34788 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407212087 | 2016-01-12 | 2016-07-18 | 9836 US HIGHWAY 441, LEESBURG, FL, 347887273, US | 9836 US HIGHWAY 441, LEESBURG, FL, 347887273, US | |||||||||||||||
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| Phone | +1 352-787-8531 |
| Fax | 3527873041 |
Authorized person
| Name | TIGE R BUCHANAN |
| Role | OWNER |
| Phone | 3527878531 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEYER, ALBERT R | Agent | 3001 PGA Boulevard, 305, Palm Beach Gardens, FL 33401 |
| Name | Role | Address |
|---|---|---|
| Buchanan, Tige Robert | President | 9836 HIGHWAY 441, LEESBURG, FL 34788 |
| Name | Role | Address |
|---|---|---|
| Buchanan, Tige Robert | Director | 9836 HIGHWAY 441, LEESBURG, FL 34788 |
| Name | Role | Address |
|---|---|---|
| Buchanan, Kendra Danelle | Practice Administrator | 9836 HIGHWAY 441, LEESBURG, FL 34788 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000081453 | BUCHANAN HEALTH CENTER, MEDICAL AND CHIROPRACTIC CARE | EXPIRED | 2014-08-07 | 2024-12-31 | No data | 9836 U.S. HWY 441, LEESBURG, FL, 34788 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-29 | 3001 PGA Boulevard, 305, Palm Beach Gardens, FL 33401 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-03-04 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
