| Entity Name: | STAT MEDICAL CLINIC III, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 10 Jun 1993 (32 years ago) |
| Document Number: | P93000041226 |
| FEI/EIN Number | 65-0424509 |
| Address: | 800 E. HALLANDALE BEACH BLVD, SUITE 22, HALLANDALE, FL 33009 |
| Mail Address: | 800 E. HALLANDALE BEACH BLVD, SUITE 22, HALLANDALE, FL 33009 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316177470 | 2009-07-22 | 2012-05-18 | 800 E HALLANDALE BEACH BLVD, SUITE #22, HALLANDALE BEACH, FL, 330094477, US | 800 E HALLANDALE BEACH BLVD, SUITE #22, HALLANDALE BEACH, FL, 330094477, US | |||||||||||||||
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| Phone | +1 954-456-1212 |
| Fax | 9544560748 |
Authorized person
| Name | PATRICE PRYCE |
| Role | BILLING |
| Phone | 9545681033 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STACHEWITSCH, ANDRE | Agent | 800 E. HALLANDALE BEACH BLVD, SUITE 22, HALLANDALE, FL 33009 |
| Name | Role | Address |
|---|---|---|
| STACHEWITSCH, ANDRE | Vice President | 800 E. HALLANDALE BEACH BLVD, SUITE 22 HALLANDALE, FL 33009 |
| Name | Role | Address |
|---|---|---|
| STACHEWITSCH, ANDRE | Treasurer | 800 E. HALLANDALE BEACH BLVD, SUITE 22 HALLANDALE, FL 33009 |
| Name | Role | Address |
|---|---|---|
| STACHEWITSCH, MARC | President | 800 E. HALLANDALE BEACH BLVD, SUITE 22 HALLANDALE, FL 33009 |
| Name | Role | Address |
|---|---|---|
| STACHEWITSCH, MARC | Secretary | 800 E. HALLANDALE BEACH BLVD, SUITE 22 HALLANDALE, FL 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-28 | 800 E. HALLANDALE BEACH BLVD, SUITE 22, HALLANDALE, FL 33009 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-28 | 800 E. HALLANDALE BEACH BLVD, SUITE 22, HALLANDALE, FL 33009 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-28 | 800 E. HALLANDALE BEACH BLVD, SUITE 22, HALLANDALE, FL 33009 | No data |
| REGISTERED AGENT NAME CHANGED | 1994-05-01 | STACHEWITSCH, ANDRE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-01-28 |
| AMENDED ANNUAL REPORT | 2018-07-09 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-16 |
| ANNUAL REPORT | 2016-02-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
