| Entity Name: | PALM HARBOR FAMILY PRACTICE AND WALK-IN CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Jan 1991 (34 years ago) |
| Document Number: | S25213 |
| FEI/EIN Number | 593046976 |
| Address: | 9 PINECONE DRIVE, SUITE 102, PALM COAST, FL, 32137, US |
| Mail Address: | 9 PINECONE DRIVE, SUITE 102, PALM COAST, FL, 32137, US |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| DORMAN MATTHEW TM.D. | Agent | 9 PINECONE DRIVE, SUITE 102, PALM COAST, FL, 32137 |
| Name | Role | Address |
|---|---|---|
| DORMAN MATTHEW T | President | 9 PINE CONE DRIVE SUITE 102, PALM COAST, FL, 321378683 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000082593 | PALM COAST CANNABIS CLINIC | ACTIVE | 2022-07-12 | 2027-12-31 | No data | 9 PINE CONE DRIVE, SUITE 102, PALM COAST, FL, 32137 |
| G20000068826 | PALM COAST FAMILY PRACTICE AND WALK-IN CLINIC | ACTIVE | 2020-06-18 | 2025-12-31 | No data | 9 PINE CONE DRIVE, SUITE 102, PALM COAST, FL, 32137 |
| G20000047503 | URGENT CARE OF PALM COAST | ACTIVE | 2020-04-30 | 2025-12-31 | No data | 9 PINE CONE DRIVE, SUITE 102, PALM COAST, FL, 32137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2018-09-27 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
