| Entity Name: | CORNELIUS J. MCGEEHAN, D.C., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Jul 1981 (44 years ago) |
| Document Number: | 693719 |
| FEI/EIN Number | 592117169 |
| Address: | C/O C.J. MCGEEHAN JR., 23 East Tarpon Ave, Tarpon Springs, FL, 34689, US |
| Mail Address: | C/O C.J. MCGEEHAN JR., 23 East Tarpon Ave, Tarpon Springs, FL, 34689, US |
| ZIP code: | 34689 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104174432 | 2012-08-16 | 2012-08-16 | 4630 DARLINGTON RD, HOLIDAY, FL, 346903906, US | 23 E TARPON AVE, TARPON SPRINGS, FL, 346893449, US | |||||||||||||||||||||||||
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| Phone | +1 727-937-4223 |
| Fax | 7279374224 |
Authorized person
| Name | DR. CORNELIUS J MCGEEHAN |
| Role | PRESIDENT |
| Phone | 7279374223 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | CH1619 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 3800032 00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCGEEHAN CORNELIUS J | Agent | 23 East Tarpon Ave, Tarpon Springs, FL, 34689 |
| Name | Role | Address |
|---|---|---|
| MCGEEHAN CORNELIUS J | President | 23 East Tarpon Ave, Tarpon Springs, FL, 34689 |
| Name | Role | Address |
|---|---|---|
| MCGEEHAN CORNELIUS J | Director | 23 East Tarpon Ave, Tarpon Springs, FL, 34689 |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000857978 | ACTIVE | 1000000624332 | PASCO | 2014-05-09 | 2034-08-01 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLIDAY SERVICE CENTER, 2127 GRAND BLVD STE 150, HOLIDAY FL346904554 |
| J13000873373 | TERMINATED | 1000000498453 | PASCO | 2013-04-24 | 2033-05-03 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PORT RICHEY SERVICE CENTER, 6709 RIDGE RD STE 300, PORT RICHEY FL346686842 |
| J12000681505 | TERMINATED | 1000000309855 | PASCO | 2012-10-15 | 2032-10-17 | $ 660.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PORT RICHEY SERVICE CENTER, 6709 RIDGE RD STE 300, PORT RICHEY FL346686842 |
| J13001523225 | LAPSED | 2010-CA-001620-WS | PASCO - CIRCUIT CIVIL | 2010-07-13 | 2018-10-10 | $58,563.82 | REGIONS BANK, P.O. BOX 320380, BIRMINGHAM, AL 35232 |
| J09002151222 | LAPSED | 51-2009-CA-004176-WS | CIRCUIT CT. PASCO CTY., FL | 2009-09-10 | 2014-09-21 | $55,604.82 | SUNTRUST BANK, 1001 SEMMES AVENUE, 6TH FLOOR, RICHMOND, VA 23224 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
