| Entity Name: | MAYO STREET MEDICAL INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Sep 2014 (10 years ago) |
| Document Number: | P14000080787 |
| FEI/EIN Number | 47-2011120 |
| Address: | 7600 Mayo Street, Century, FL, 32535, US |
| Mail Address: | 7600 Mayo Street, Century, FL, 32535, US |
| ZIP code: | 32535 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164812962 | 2015-01-31 | 2015-01-31 | 7600 MAYO ST STE A, CENTURY, FL, 325352905, US | 7600 MAYO ST STE A, CENTURY, FL, 325352905, US | |||||||||||||||
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| Phone | +1 888-517-4992 |
| Fax | 2523774231 |
Authorized person
| Name | DR. CHRISTIAN BACHMAN |
| Role | PRESIDENT |
| Phone | 8885174992 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BACHMAN CHRISTIAN G | Agent | 7600 Mayo Street, Century, FL, 32535 |
| Name | Role | Address |
|---|---|---|
| BACHMAN CHRISTIAN GMD | Chief Executive Officer | 7600 Mayo Street, Century, FL, 32535 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-22 | 7600 Mayo Street, Century, FL 32535 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-22 | 7600 Mayo Street, Century, FL 32535 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-22 | 7600 Mayo Street, Century, FL 32535 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-12 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-04-22 |
| ANNUAL REPORT | 2017-03-06 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-03-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
