Detail by Officer/Registered Agent Name
Florida Not For Profit Corporation
NORTHSIDE MEDICAL PARK, INC.
Filing Information
769127
59-2509440
06/27/1983
FL
ACTIVE
Principal Address
Changed: 06/12/1991
740 WEST PLYMOUTH AVENUE
DELAND, FL 32720
DELAND, FL 32720
Changed: 06/12/1991
Mailing Address
Changed: 06/12/1991
740 WEST PLYMOUTH AVENUE
DELAND, FL 32720
DELAND, FL 32720
Changed: 06/12/1991
Registered Agent Name & Address
Hollmann, Mark W
Name Changed: 02/21/2019
740 WEST PLYMOUTH AVENUE
DELAND, FL 32720
DELAND, FL 32720
Name Changed: 02/21/2019
Officer/Director Detail
Name & Address
Title DP
HOLLMAN, MARK W
Title DS
REED, STEPHEN MD
Title DT
LAVOIE, STEPHANE MD
Title DAS
WALDBAUM, JONATHAN
Title DP
HOLLMAN, MARK W
740 WEST PLYMOUTH AVENUE
DELAND, FL 32720
DELAND, FL 32720
Title DS
REED, STEPHEN MD
740 WEST PLYMOUTH AVENUE
DELAND, FL 32720
DELAND, FL 32720
Title DT
LAVOIE, STEPHANE MD
740 W PLYMOUTH AVENUE
DELAND, FL 32720
DELAND, FL 32720
Title DAS
WALDBAUM, JONATHAN
740 W PLYMOUTH AVENUE
DELAND, FL 32720
DELAND, FL 32720
Annual Reports
Report Year | Filed Date |
2022 | 02/10/2022 |
2023 | 02/08/2023 |
2024 | 04/03/2024 |
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