| Entity Name: | AMELIA FAMILY PRACTICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Dec 1993 (31 years ago) |
| Document Number: | P93000086742 |
| FEI/EIN Number | 593215070 |
| Address: | 841 Prudential Drive, Suite 1802, Jacksonville, FL, 32207, US |
| Mail Address: | 841 Prudential Drive, Suite 1802, Jacksonville, FL, 32207, US |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| Baity G. SEsq. | Agent | 841 PRUDENTIAL DRIVE, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| Baity G. S | Secretary | 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| GROOVER TIMOTHY MD | Director | 841 PRUDENTIAL DRIVE, SUITE 1601, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| Mayo Michael A | President | 841 PRUDENTIAL DRIVE, SUITE 1601, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| Tickell Keith | Treasurer | 841 Prudential Drive, Jacksonville, FL, 32207 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
