| Entity Name: | FLORIDA MEDICAL QUALITY ASSURANCE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 28 Dec 1992 (32 years ago) |
| Date of dissolution: | 30 Jun 2014 (11 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 30 Jun 2014 (11 years ago) |
| Document Number: | P92000014347 |
| FEI/EIN Number | 59-3155017 |
| Address: | 5201 W. KENNEDY BOULEVARD, SUITE #900, TAMPA, FL 33609 |
| Mail Address: | 5201 W. KENNEDY BOULEVARD, SUITE #900, TAMPA, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | FLORIDA MEDICAL QUALITY ASSURANCE, INC., MISSISSIPPI | 979212 | MISSISSIPPI |
| Headquarter of | FLORIDA MEDICAL QUALITY ASSURANCE, INC., KENTUCKY | 0833339 | KENTUCKY |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| HENSHAW, JAMES Z | Chief Executive Officer | 5201 W. KENNEDY BOULEVARD #900, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| DALTON, MARY ELLEN | President | 3133 E Camelback Road, Suite 300 Phoenix, AZ 85016 |
| Name | Role | Address |
|---|---|---|
| TENISON, JOELLEN | Secretary | 3133 E Camelback Road, Suite 300 Phoenix, AZ 85016 |
| Name | Role | Address |
|---|---|---|
| Adhal, Azzam | Director | 5201 W. KENNEDY BOULEVARD, SUITE #900 TAMPA, FL 33609 |
| Hyer, Kathryn | Director | 5201 W. KENNEDY BOULEVARD, SUITE #900 TAMPA, FL 33609 |
| Marcello, Diane | Director | 5201 W. KENNEDY BOULEVARD, SUITE #900 TAMPA, FL 33609 |
| Palermo, James | Director | 5201 W. KENNEDY BOULEVARD, SUITE #900 TAMPA, FL 33609 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000003428 | FMQAI | EXPIRED | 2014-01-10 | 2019-12-31 | No data | 5201 WEST KENNEDY BOULEVARD, TAMPA, FL, 33609 |
| G12000109870 | FLORIDA MEDICAL QUALITY ASSURANCE | EXPIRED | 2012-11-14 | 2017-12-31 | No data | 5201 WEST KENNEDY BOULEVARD, SUITE 900, TAMPA, FL, 33609 |
| G12000109869 | FMQAI | EXPIRED | 2012-11-14 | 2017-12-31 | No data | 5201 WEST KENNEDY BOULEVARD, SUITE 900, TAMPA, FL, 33609 |
| G09000183986 | HEALTH SERVICES ADVISORY GROUP OF FLORIDA, INC. | EXPIRED | 2009-12-11 | 2014-12-31 | No data | 5201 WEST KENNEDY BOULEVARD, SUITE 900, TAMPA, FL, 33609 |
| G08311900199 | HEALTH SERVICES ADVISORY GROUP, INC. (HSAG) | EXPIRED | 2008-11-06 | 2013-12-31 | No data | 5201 WEST KENNEDY BOULEVARD, SUITE #900, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2014-06-30 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS F06000000571. MERGER NUMBER 300000141933 |
| NAME CHANGE AMENDMENT | 2014-01-06 | FLORIDA MEDICAL QUALITY ASSURANCE, INC. | No data |
| AMENDMENT AND NAME CHANGE | 2012-09-17 | HEALTH SERVICES ADVISORY GROUP OF FLORIDA, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-20 | 155 OFFICE PLAZA DRIVE, TALLAHASSEE, FL 32301 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-04-20 | COGENCY GLOBAL INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-11 | 5201 W. KENNEDY BOULEVARD, SUITE #900, TAMPA, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2006-01-11 | 5201 W. KENNEDY BOULEVARD, SUITE #900, TAMPA, FL 33609 | No data |
| AMENDMENT | 2003-10-24 | No data | No data |
| REINSTATEMENT | 1999-11-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1999-09-24 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2014-05-20 |
| ANNUAL REPORT | 2014-05-01 |
| Name Change | 2014-01-06 |
| ANNUAL REPORT | 2013-04-22 |
| Amendment and Name Change | 2012-09-17 |
| Reg. Agent Change | 2012-04-20 |
| ANNUAL REPORT | 2012-01-16 |
| ANNUAL REPORT | 2011-02-18 |
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-02-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
