| Entity Name: | ALL FAMILY MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Aug 1998 (26 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Oct 2015 (9 years ago) |
| Document Number: | P98000070504 |
| FEI/EIN Number | 593527599 |
| Address: | 7655 38TH AVE NO, SUITE 100, ST PETERSBURG, FL, 33710 |
| Mail Address: | 6027 Gulfport Blvd, ST PETERSBURG, FL, 33707, US |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174611289 | 2006-10-11 | 2020-08-22 | 7655 38TH AVE N, ST PETERSBURG, FL, 337101232, US | 7655 38TH AVE N, ST PETERSBURG, FL, 337101232, US | |||||||||||||||||
|
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| Phone | +1 727-345-1332 |
| Fax | 7273453200 |
Authorized person
| Name | MR. RANDY ALLEN SHUCK |
| Role | OWNER/PHYSICIAN |
| Phone | 7273451332 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHUCK RANDY | Agent | 7655 38TH AVE NO, ST PETERSBURG, FL, 33710 |
| Name | Role | Address |
|---|---|---|
| SHUCK RANDY | President | 7655 38TH AVE NO, ST PETERSBURG, FL, 33710 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-03-02 | 7655 38TH AVE NO, SUITE 100, ST PETERSBURG, FL 33710 | No data |
| REINSTATEMENT | 2015-10-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-24 | SHUCK, RANDY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-20 | 7655 38TH AVE NO, SUITE 100, ST PETERSBURG, FL 33710 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-20 | 7655 38TH AVE NO, SUITE 100, ST PETERSBURG, FL 33710 | No data |
| REINSTATEMENT | 2003-06-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1999-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-06-14 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-01-24 |
| ANNUAL REPORT | 2016-04-14 |
| REINSTATEMENT | 2015-10-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
