| Entity Name: | AMELIA EAR, NOSE & THROAT, P.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 23 Nov 2004 (20 years ago) |
| Date of dissolution: | 19 Mar 2021 (4 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 19 Mar 2021 (4 years ago) |
| Document Number: | F04000006816 |
| FEI/EIN Number | 582037953 |
| Address: | 167 Long Point Dr, Fernandina Beach, FL, 32034, US |
| Mail Address: | 167 LONG POINT DR, FERNANDINA BEACH, FL, 32034, US |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | GEORGIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215126586 | 2007-10-23 | 2007-10-24 | 1340 S 18TH ST, SUITE 102, FERNANDINA, FL, 320344733, US | 1340 S 18TH ST, SUITE 102, FERNANDINA, FL, 320344733, US | |||||||||||||||||||
|
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| Phone | +1 904-321-1417 |
| Fax | 9043211418 |
Authorized person
| Name | DR. WILLIAM BAUER |
| Role | OWNER |
| Phone | 9043211417 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| License Number | ME86839 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAUER WILLIAM M | President | 167 Long Point Dr, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| BAUER WILLIAM M | Vice President | 167 Long Point Dr, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| BAUER WILLIAM M | Secretary | 167 Long Point Dr, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| BAUER WILLIAM M | Treasurer | 167 Long Point Dr, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| BAUER WILLIAM M | Chairman | 167 Long Point Dr, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| BAUER WILLIAM M | Vice Chairman | 167 Long Point Dr, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| BAUER WILLIAM M | Director | 167 Long Point Dr, FERNANDINA BEACH, FL, 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2021-03-19 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-19 | 167 Long Point Dr, Fernandina Beach, FL 32034 | No data |
| REGISTERED AGENT CHANGED | 2021-03-19 | REGISTERED AGENT REVOKED | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-10 | 167 Long Point Dr, Fernandina Beach, FL 32034 | No data |
| REINSTATEMENT | 2019-10-29 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| WITHDRAWAL | 2021-03-19 |
| ANNUAL REPORT | 2020-06-10 |
| REINSTATEMENT | 2019-10-29 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-27 |
| ANNUAL REPORT | 2014-02-25 |
| ANNUAL REPORT | 2013-01-24 |
| ANNUAL REPORT | 2012-03-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
