| Entity Name: | SOUTH CLAY MEDICAL ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Aug 1998 (26 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P98000075245 |
| FEI/EIN Number | 593544331 |
| Address: | 3360 COUNTY ROAD 220, MIDDLEBURG, FL, 32068 |
| Mail Address: | 1231 Hickory cove LN, Orange park, FL, 32073, US |
| ZIP code: | 32068 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710991419 | 2006-07-28 | 2011-05-18 | 3360 COUNTY ROAD 220, MIDDLEBURG, FL, 320684359, US | 3360 COUNTY ROAD 220, MIDDLEBURG, FL, 320684359, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 904-291-2221 |
| Fax | 9042919192 |
Authorized person
| Name | DR. MURSHID AL-AWADY |
| Role | OWNER |
| Phone | 9042912221 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AL-AWADY MURSHID A | Agent | 3360 COUNTY ROAD 220, MIDDLEBURG, FL, 32068 |
| Name | Role | Address |
|---|---|---|
| AL-AWADY MURSHID A | Director | 3360 COUNTY ROAD 220, MIDDLEBURG, FL, 32068 |
| Name | Role | Address |
|---|---|---|
| APRAMEYA SRIRAMULA M | Secretary | 3360 COUNTY ROAD 220, MIDDLEBURG, FL, 32068 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-28 | 3360 COUNTY ROAD 220, MIDDLEBURG, FL 32068 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-08 | 3360 COUNTY ROAD 220, MIDDLEBURG, FL 32068 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-08 | 3360 COUNTY ROAD 220, MIDDLEBURG, FL 32068 | No data |
| AMENDMENT | 2007-07-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-01-26 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-01-08 |
| ANNUAL REPORT | 2015-03-07 |
| ANNUAL REPORT | 2014-01-19 |
| ANNUAL REPORT | 2013-01-26 |
| ANNUAL REPORT | 2012-01-08 |
| ANNUAL REPORT | 2011-01-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
