Entity Name: | ORANGE PARK INTERNAL MEDICINE, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 14 Apr 1998 (27 years ago) |
Document Number: | P98000034578 |
FEI/EIN Number | 593511140 |
Address: | 2035 PROFESSIONAL CENTER DRIVE STE C, ORANGE PARK, FL, 32073 |
Mail Address: | 2035 PROFESSIONAL CENTER DRIVE STE C, ORANGE PARK, FL, 32073 |
ZIP code: | 32073 |
County: | Clay |
Place of Formation: | FLORIDA |
Name | Role | Address |
---|---|---|
AKEL EDWARD C | Agent | 1 INDEPENDENT DR STE 2301, JACKSONVILLE, FL, 32202 |
Name | Role | Address |
---|---|---|
ARNOLD JOHN P | President | 2035 PROFESSIONAL CENTER DRIVE STE C, ORANGE PARK, FL, 32073 |
Name | Role | Address |
---|---|---|
PHILLIPS CHARLES E | Director | 2035 PROFESSIONAL CENTER DRIVE STE C, ORANGE PARK, FL, 32073 |
STAWARA MARK A | Director | 2035 PROFESSIONAL CENTER DRIVE STE C, ORANGE PARK, FL, 32073 |
TEW DOUGLAS M | Director | 2035 PROFESSIONAL CTR. DR., STE. C, ORANGE PARK, FL |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State