Detail by Entity Name

Florida Profit Corporation

EMERALD COAST MEDICAL CLINIC, INC.

Filing Information
P95000084565 59-3346460 11/03/1995 11/02/1995 FL INACTIVE VOLUNTARY DISSOLUTION 12/04/2013 NONE
Principal Address
552 TWIN CITIES BLVD
SUITE A
NICEVILLE, FL 32578

Changed: 01/14/2009
Mailing Address
552 TWIN CITIES BLVD
SUITE A
NICEVILLE, FL 32578

Changed: 01/14/2009
Registered Agent Name & Address KEVIN M. HELMICH, P.A.
4405 COMMOMS DRIVE EAST, SUITE 102
DESTIN, FL 32541

Name Changed: 11/02/2010

Address Changed: 11/02/2010
Officer/Director Detail Name & Address

Title PD

HANEY, W. MICHAEL MD
550 TWIN CITIES BLVD, STE C
NICEVILLE, FL 32578

Title VSTD

BANKS, GARY GMD
552 TWIN CITIES BLVD, STE A
NICEVILLE, FL 32578

Title D

ABERNATHY, WILLIAM MMD
12272 HIGHWAY 98 WEST
DESTIN, FL 32541

Title D

KATZENSTEIN, MARK JM.D.
129 EAST REDSTONE AVENUE, SUITE A
CRESTVIEW, FL 32539

Title D

MALAMOS, NICKOLAOS CM.D.
12272 HIGHWAY 98 WEST
DESTIN, FL

Title D

SHALIT, JOSEPH M.D.
12272 HIGHWAY 98 WEST
DESTIN, FL

Annual Reports
Report YearFiled Date
2011 01/12/2011
2012 01/04/2012
2013 01/29/2013