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CRDENTIA CORP.

Company Details

Entity Name: CRDENTIA CORP.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit Corporation
Status: Inactive
Date Filed: 23 Jan 2004 (21 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: REVOKED FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (12 years ago)
Document Number: F04000000518
FEI/EIN Number 76-0585701
Address: 1964 HOWELL BRANCH RD., SUITE 206, WINTER PARK, FL 32792
Mail Address: 1964 HOWELL BRANCH RD., SUITE 206, WINTER PARK, FL 32792
ZIP code: 32792
County: Orange
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982876918 2008-03-31 2010-11-16 1964 HOWELL BRANCH RD, SUITE 205, WINTER PARK, FL, 327921042, US 1964 HOWELL BRANCH RD, SUITE 205, WINTER PARK, FL, 327921042, US

Contacts

Phone +1 407-677-0400

Authorized person

Name MR. RANDALL TURNBULL
Role SRVP AND CHIEF CLINICAL OFFICER
Phone 4076770400

Taxonomy

Taxonomy Code 251J00000X - Nursing Care Agency
Is Primary Yes

Agent

Name Role
NRAI SERVICES, INC. Agent

Secretary

Name Role Address
O'SULLIVAN, ROBERT Secretary 1964 HOWELL BRANCH RD., SUITE 206, WINTER PARK, FL 32792

President

Name Role Address
O'SULLIVAN, ROBERT President 1964 HOWELL BRANCH RD., SUITE 206, WINTER PARK, FL 32792

Director

Name Role Address
O'SULLIVAN, ROBERT Director 1964 HOWELL BRANCH ROAD, SUITE 205, WINTER PARK, FL 32792

Chief Financial Officer

Name Role Address
IRISH, REBECCA Chief Financial Officer 1964 HOWELL BRANCH RD., SUITE 206, WINTER PARK, FL 32792

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2013-11-07 NRAI SERVICES, INC No data
REGISTERED AGENT ADDRESS CHANGED 2013-11-07 1200 South Pine Island Road, Plantation, FL 33324 No data
REVOKED FOR ANNUAL REPORT 2012-09-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-05-19 1964 HOWELL BRANCH RD., SUITE 206, WINTER PARK, FL 32792 No data
CHANGE OF MAILING ADDRESS 2011-05-19 1964 HOWELL BRANCH RD., SUITE 206, WINTER PARK, FL 32792 No data
CANCEL ADM DISS/REV 2008-01-17 No data No data
REVOKED FOR ANNUAL REPORT 2006-09-15 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J14000855311 LAPSED 1000000623672 LEON 2014-05-08 2024-08-01 $ 24,972.49 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123
J14000278092 TERMINATED 1000000369384 LEON 2014-02-26 2024-03-13 $ 9,572.52 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100
J13001545087 ACTIVE 1000000375874 LEON 2013-10-07 2033-10-29 $ 330.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123
J13000527375 ACTIVE 1000000369383 LEON 2013-02-27 2033-03-06 $ 330.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123
J12000434285 LAPSED 1000000276318 LEON 2012-05-14 2022-05-23 $ 20,577.55 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 5050 W TENNESSEE ST, TALLAHASSEE FL323996586
J12000434277 ACTIVE 1000000276317 LEON 2012-05-14 2032-05-23 $ 330.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 5050 W TENNESSEE ST, TALLAHASSEE FL323996586
J12000089014 TERMINATED 1000000249471 LEON 2012-02-02 2022-02-08 $ 9,409.70 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192

Documents

Name Date
ANNUAL REPORT 2011-05-19
ANNUAL REPORT 2010-03-05
Revoked for Registered Agent 2010-02-18
Reg. Agent Resignation 2009-11-09
ANNUAL REPORT 2009-05-01
REINSTATEMENT 2008-01-17
ANNUAL REPORT 2005-06-06
Foreign Profit 2004-01-23

Date of last update: 30 Jan 2025

Sources: Florida Department of State