| Entity Name: | OCALA FAMILY MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Jan 1993 (32 years ago) |
| Document Number: | P93000002363 |
| FEI/EIN Number | 593158481 |
| Address: | 2230 SW 19 AVE RD, OCALA, FL, 34471, US |
| Mail Address: | 2230 SW 19 AVE RD, OCALA, FL, 34471, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659775856 | 2014-10-16 | 2019-06-27 | 2230 SW 19TH AVENUE RD, OCALA, FL, 344711391, US | 2230 SW 19TH AVENUE RD, OCALA, FL, 344711391, US | |||||||||||||||
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| Phone | +1 352-237-4133 |
| Fax | 3522377728 |
Authorized person
| Name | LARRY MAYFIELD |
| Role | CEO |
| Phone | 3522374133 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OCALA FAMILY MEDICAL CENTER 401(K) PLAN | 2023 | 593158481 | 2024-08-30 | OCALA FAMILY MEDICAL CENTER, INC. | 201 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| FOWLER DEBRA | Agent | 2230 SW 19 AVE RD, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| GLASSMAN SHARON | President | 2230 SW 19 AVE RD, OCALA, FL, 34474 |
| Name | Role | Address |
|---|---|---|
| GLASSMAN SHARON | Director | 2230 SW 19 AVE RD, OCALA, FL, 34474 |
| FOWLER DEBRA | Director | 2230 SW 19 AVE RD, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| FOWLER DEBRA | Secretary | 2230 SW 19 AVE RD, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| FOWLER DEBRA | Treasurer | 2230 SW 19 AVE RD, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| MAYFIELD LARRY | Chief Executive Officer | 2230 SW 19 AVE RD, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| Gonzalez Talia | Chief Operating Officer | 2230 SW 19 AVE RD, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2010-02-11 | No data | No data |
| NAME CHANGE AMENDMENT | 1996-01-26 | OCALA FAMILY MEDICAL CENTER, INC. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
