| Entity Name: | MAGNOLIA FAMILY CARE CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Oct 2018 (6 years ago) |
| Document Number: | P18000090529 |
| FEI/EIN Number | 83-2487254 |
| Address: | 777 WEST DUVAL STREET, LAKE CITY, FL, 32055, US |
| Mail Address: | 777 WEST DUVAL STREET, LAKE CITY, FL, 32055, US |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952060980 | 2021-12-17 | 2021-12-20 | 777 WEST DUVAL STREET, OPTIONAL, LAKE CITY, FL, 32055, US | 777 WEST DUVAL STREET, OPTIONAL, LAKE CITY, FL, 32055, US | |||||||||||||||
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| Phone | +1 386-755-3300 |
| Fax | 3867558595 |
Authorized person
| Name | JENNIFER LYN BRYAN |
| Role | OWNER |
| Phone | 3867553300 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Perkins Gina A | Agent | 777 West Duval Street, Lake City, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| Bryan Jennifer Aprn | President | 777 WEST DUVAL STREET, LAKE CITY, FL, 32055 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000141935 | UROLIFE WELLNESS | ACTIVE | 2024-11-20 | 2029-12-31 | No data | 256 SW PROFESSIONAL GLEN, SUITE 102, LAKE CITY, FL, 32025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-05-27 | Perkins, Gina A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-27 | 777 West Duval Street, Lake City, FL 32055 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-09-09 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-27 |
| ANNUAL REPORT | 2019-02-19 |
| Domestic Profit | 2018-10-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
