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A & C PRIMARY CARE SERVICE INC

Company Details

Entity Name: A & C PRIMARY CARE SERVICE INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Feb 2016 (9 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: P16000015488
FEI/EIN Number 81-1547134
Address: 8491 Gassner Way, LEHIGH ACRES, FL, 33972, US
Mail Address: 8491 GASSNER WAY, LEHIGH ACRES, FL, 33972, US
ZIP code: 33972
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245684042 2016-04-18 2016-04-18 701 RUTH AVE N, LEHIGH ACRES, FL, 339711479, US 130 LEE BLVD, B, LEHIGH ACRES, FL, 339366145, US

Authorized person

Name ANGELA M COLON SANTIAGO
Role PRESIDENT
Phone 7877183984

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
ALMANZAR ALCANTARA VICTOR M Agent 8491 GASSNER WAY, LEHIGH ACRES, FL, 33972

President

Name Role Address
COLON SANTIAGO ANGELA M President 8491 GASSNER WAY, LEHIGH ACRES, FL, 33972

Vice President

Name Role Address
ALMANZAR ALCANTARA VICTOR M Vice President 8491 GASSNER WAY, LEHIGH ACRES, FL, 33972

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-09-20 8491 Gassner Way, LEHIGH ACRES, FL 33972 No data
REVOCATION OF VOLUNTARY DISSOLUT 2018-04-16 No data No data
VOLUNTARY DISSOLUTION 2018-02-02 No data No data
REGISTERED AGENT ADDRESS CHANGED 2016-06-06 8491 GASSNER WAY, LEHIGH ACRES, FL 33972 No data
CHANGE OF MAILING ADDRESS 2016-06-06 8491 Gassner Way, LEHIGH ACRES, FL 33972 No data
REGISTERED AGENT NAME CHANGED 2016-06-06 ALMANZAR ALCANTARA, VICTOR M No data
AMENDMENT 2016-06-06 No data No data

Documents

Name Date
ANNUAL REPORT 2020-03-23
ANNUAL REPORT 2019-02-15
ANNUAL REPORT 2018-09-20
Revocation of Dissolution 2018-04-16
VOLUNTARY DISSOLUTION 2018-02-02
ANNUAL REPORT 2017-02-27
Amendment 2016-06-06
Domestic Profit 2016-02-16

Date of last update: 03 Feb 2025

Sources: Florida Department of State