| Entity Name: | TERENCE B MITCHELL MD INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Mar 2017 (8 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | P17000021517 |
| FEI/EIN Number | 82-0662346 |
| Address: | 2600 NORTH PARTIN DRIVE, SUITE 330, NICEVILLE, FL 32578 |
| Mail Address: | 1325 WINDRUSH COVE, NICEVILLE, FL 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316472368 | 2017-04-27 | 2017-04-27 | 2600 PARTIN DR N STE 300, SUITE 330, NICEVILLE, FL, 325781543, US | 2600 PARTIN DR N STE 300, SUITE 330, NICEVILLE, FL, 325781543, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 850-279-4466 |
| Fax | 8585027989 |
Authorized person
| Name | TERENCE B MITCHELL |
| Role | MBR |
| Phone | 8506428963 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MITCHELL, TERENCE B | Agent | 1325 WINDRUSH COVE, NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| MITCHELL, KATHLEEN A | PM | 1325 WINDRUSH COVE, NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| MITCHELL, TERENCE B | President | 1325 WINDRUSH COVE, NICEVILLE, FL 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-16 | 2600 NORTH PARTIN DRIVE, SUITE 330, NICEVILLE, FL 32578 | No data |
| AMENDMENT | 2017-06-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-16 |
| Amendment | 2017-06-26 |
| Domestic Profit | 2017-03-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4649107210 | 2020-04-27 | 0491 | PPP | 2600 PARTIN DR, NICEVILLE, FL, 32578 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 18 Feb 2025
Sources: Florida Department of State
