| Entity Name: | FREEPORT MEDICAL ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Feb 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Feb 2021 (4 years ago) |
| Document Number: | P19000012304 |
| FEI/EIN Number | 83-3580776 |
| Address: | Box 6688, Miramar Beach, FL, 32550, US |
| Mail Address: | Box 6688, Miramar Beach, FL, 32550, US |
| ZIP code: | 32550 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932730942 | 2020-01-29 | 2020-01-29 | PO BOX 1033, FREEPORT, FL, 324391033, US | 17256 MAIN ST N STE 1, BLOUNTSTOWN, FL, 324241775, US | |||||||||||||
|
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| Phone | +1 850-842-9912 |
Authorized person
| Name | MR. RONALD GILBERT WATSON JR. |
| Role | OWNER |
| Phone | 8508429912 |
Taxonomy
| Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Watson Ronald GJR. | Agent | Box 6688, Miramar Beach, FL, 32550 |
| Name | Role | Address |
|---|---|---|
| WATSON RONALD | President | Box 6688, Miramar Beach, FL, 32550 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-30 | Box 6688, Miramar Beach, FL 32550 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-30 | Box 6688, Miramar Beach, FL 32550 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-03-30 | Watson, Ronald G, JR. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-30 | Box 6688, Miramar Beach, FL 32550 | No data |
| REINSTATEMENT | 2021-02-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-30 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-01-26 |
| REINSTATEMENT | 2021-02-09 |
| Domestic Profit | 2019-02-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
