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FIRST COAST HEARING CLINIC, INC.

Company Details

Entity Name: FIRST COAST HEARING CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Jul 1997 (28 years ago)
Document Number: P97000062080
FEI/EIN Number 593456370
Address: 1835 U.S. HWY 1 SO., SUITE 121, ST. AUGUSTINE, FL, 32084, US
Mail Address: 1835 U.S. HWY 1 SO., SUITE 121, ST. AUGUSTINE, FL, 32084, US
ZIP code: 32084
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750504718 2007-04-10 2020-08-22 50 CYPRESS POINT PKWY, SUITE B3, PALM COAST, FL, 321642500, US 50 CYPRESS POINT PKWY, SUITE B3, PALM COAST, FL, 321642500, US

Contacts

Phone +1 386-447-7364
Fax 3864478742

Authorized person

Name MELANEE BRYANS
Role OFFICE MANAGER
Phone 3864477364

Taxonomy

Taxonomy Code 231H00000X - Audiologist
License Number AY689
State FL
Is Primary Yes

Agent

Name Role Address
Mitchell Ashley Agent 1835 U.S. HWY 1 SO., ST. AUGUSTINE, FL, 32084

President

Name Role Address
MITCHELL ASHLEY President 1835 US HWY 1 SO., ST. AUGUSTINE, FL, 32084

Vice President

Name Role Address
MITCHELL ASHLEY Vice President 1835 US HWY 1 SO., ST. AUGUSTINE, FL, 32084

Secretary

Name Role Address
MITCHELL ASHLEY Secretary 1835 US HWY 1 SO., ST. AUGUSTINE, FL, 32084

Treasurer

Name Role Address
MITCHELL ASHLEY Treasurer 1835 US HWY 1 SO., ST. AUGUSTINE, FL, 32084

Events

Event Type Filed Date Value Description
AMENDMENT 2017-05-03 No data No data
REINSTATEMENT 2012-04-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State