| Entity Name: | NEIGHBORHOOD DIABETES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 28 Mar 2007 (18 years ago) |
| Date of dissolution: | 14 Aug 2017 (8 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 14 Aug 2017 (8 years ago) |
| Document Number: | F07000001798 |
| FEI/EIN Number | 043449088 |
| Address: | 8881 S. US HIGHWAY 1, PORT ST. LUCIE, FL, 34952, US |
| Mail Address: | 8881 S. US HIGHWAY 1, PORT ST. LUCIE, FL, 34952, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | MASSACHUSETTS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871759118 | 2008-08-06 | 2016-07-29 | 8881 S US HIGHWAY 1, ATTN: LICENSING DEPARTMENT, PORT ST LUCIE, FL, 349523401, US | 5976 HOFFNER AVENUE, SUITE 607, ORLANDO, FL, 328224821, US | |||||||||||||||||||||||||||||
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| Phone | +1 772-398-2122 |
| Fax | 8443634341 |
| Phone | +1 866-784-5647 |
Authorized person
| Name | JONATHAN BLACK |
| Role | PRESIDENT |
| Phone | 7723982122 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031984800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| Black Jonathan S | President | 8881 S. US Highway 1, PORT ST. LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| Leene Gillian R | Secretary | 8881 S. US Highway 1, PORT ST. LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| Korte Scott R | Treasurer | 8881 S. US Highway 1, PORT ST. LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2017-08-14 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L14000172136. MERGER NUMBER 500000173855 |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-25 | 8881 S. US HIGHWAY 1, PORT ST. LUCIE, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-25 | 8881 S. US HIGHWAY 1, PORT ST. LUCIE, FL 34952 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-25 | CT CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-25 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-16 |
| Reg. Agent Change | 2016-03-25 |
| AMENDED ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2016-03-09 |
| AMENDED ANNUAL REPORT | 2015-07-07 |
| ANNUAL REPORT | 2015-04-09 |
| AMENDED ANNUAL REPORT | 2014-10-09 |
| ANNUAL REPORT | 2014-04-14 |
| ANNUAL REPORT | 2013-04-01 |
| Reg. Agent Change | 2012-09-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
