| Entity Name: | NSDC INJURY MEDICAL GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 15 Jun 2016 (9 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P16000052434 |
| FEI/EIN Number | 81-2963450 |
| Address: | 306 S 10TH ST, HAINES CITY, FL 33844 |
| Mail Address: | 306 S 10TH ST, HAINES CITY, FL 33844 |
| ZIP code: | 33844 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649724592 | 2016-08-09 | 2016-08-09 | 736 S DILLARD ST, SUITE A, WINTER GARDEN, FL, 347873908, US | 736 S DILLARD ST, SUITE A, WINTER GARDEN, FL, 347873908, US | |||||||||||||||||
|
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| Phone | +1 407-378-7866 |
Authorized person
| Name | DR. JAIME JORGE-FLORES |
| Role | OWNER |
| Phone | 4073787866 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | ACN292 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JORGE FLORES, JAIME | Agent | 306 S 10TH ST, HAINES CITY, FL 33844 |
| Name | Role | Address |
|---|---|---|
| JORGE FLORES, JAIME | President | 306 S 10 ST, HAINES CITY, FL 33844 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000091250 | PLANT CITY URGENT CARE & WALK IN CLINIC | EXPIRED | 2018-08-16 | 2023-12-31 | No data | 1908 JAMES L REDMAN PARKWAY, PLANT CITY, FL, 33563 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-27 | JORGE FLORES, JAIME | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-27 | 306 S 10TH ST, HAINES CITY, FL 33844 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-06 |
| Domestic Profit | 2016-06-15 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
