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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
Mitchell Ashley | Agent | 1835 U.S. HWY 1 SO., ST. AUGUSTINE, FL, 32084 |
Name | Role | Address |
---|---|---|
MITCHELL ASHLEY | President | 1835 US HWY 1 SO., ST. AUGUSTINE, FL, 32084 |
Name | Role | Address |
---|---|---|
MITCHELL ASHLEY | Vice President | 1835 US HWY 1 SO., ST. AUGUSTINE, FL, 32084 |
Name | Role | Address |
---|---|---|
MITCHELL ASHLEY | Secretary | 1835 US HWY 1 SO., ST. AUGUSTINE, FL, 32084 |
Name | Role | Address |
---|---|---|
MITCHELL ASHLEY | Treasurer | 1835 US HWY 1 SO., ST. AUGUSTINE, FL, 32084 |
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