| Entity Name: | CONVENIENT CARE MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 27 Oct 1999 (25 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P99000094930 |
| FEI/EIN Number | 22-3687218 |
| Address: | 507 S MACDILL AVE, TAMPA, FL 33609 |
| Mail Address: | 507 S MACDILL AVE, TAMPA, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730135849 | 2006-05-26 | 2020-08-22 | 507 S MACDILL AVE, TAMPA, FL, 336093038, US | 507 S MACDILL AVE, TAMPA, FL, 336093038, US | |||||||||||||||
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| Phone | +1 813-350-9398 |
| Fax | 8134149181 |
Authorized person
| Name | MRS. RONDA LYNN WILLETT |
| Role | EXEC DIRECTOR |
| Phone | 8139573554 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLERT, THOMAS K | Agent | 100 W KENNEDY BLVD, STE 650, TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| WILLETT, THOMAS K | President | 100 W KENNEDY BLVD, STE 650, TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| WILLETT, R M | Vice President | 22634 ROYAL RIDGE COURT, LUTZ, FL 33549 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-19 | 507 S MACDILL AVE, TAMPA, FL 33609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-01-30 | 100 W KENNEDY BLVD, STE 650, TAMPA, FL 33602 | No data |
| REGISTERED AGENT NAME CHANGED | 2003-01-13 | WILLERT, THOMAS K | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J09001207116 | LAPSED | 08-14972-J | HILLSBOROUGH CTY. CT. CIV. DIV | 2008-10-20 | 2014-05-20 | $12,586.44 | MCKESSON MEDICAL SURGICAL, INC., ONE POST ST., 35TH FLOOR, SAN FRANCISCO, CA 94104 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-04-19 |
| ANNUAL REPORT | 2006-01-30 |
| ANNUAL REPORT | 2005-04-06 |
| ANNUAL REPORT | 2004-02-20 |
| ANNUAL REPORT | 2003-01-13 |
| ANNUAL REPORT | 2002-02-01 |
| ANNUAL REPORT | 2001-02-05 |
| ANNUAL REPORT | 2000-09-18 |
| Domestic Profit | 1999-10-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
