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 |
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 | |||||||||||
|
Name | ANGELA M COLON SANTIAGO |
Role | PRESIDENT |
Phone | 7877183984 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ALMANZAR ALCANTARA VICTOR M | Agent | 8491 GASSNER WAY, LEHIGH ACRES, FL, 33972 |
Name | Role | Address |
---|---|---|
COLON SANTIAGO ANGELA M | President | 8491 GASSNER WAY, LEHIGH ACRES, FL, 33972 |
Name | Role | Address |
---|---|---|
ALMANZAR ALCANTARA VICTOR M | Vice President | 8491 GASSNER WAY, LEHIGH ACRES, FL, 33972 |
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 |
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