DOCTORS HOSPITAL OF DEFUNIAK SPRINGS, INC.

Company Details

Entity Name:	DOCTORS HOSPITAL OF DEFUNIAK SPRINGS, INC.
Jurisdiction:	FLORIDA
Filing Type:	Foreign Profit
Status:	Inactive
Date Filed:	09 May 2008 (17 years ago)
Date of dissolution:	25 Sep 2009 (15 years ago)
Last Event:	REVOKED FOR ANNUAL REPORT
Event Date Filed:	25 Sep 2009 (15 years ago)
Document Number:	F08000002100
Address:	179 KLONDIKE ROAD, STATE ROAD, NC, 28676
Mail Address:	POST OFFICE BOX 767, ELKIN, NC, 28621
Place of Formation:	DELAWARE

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1861665135

2008-04-08

2008-04-08

4413 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL, 324356307, US

4413 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL, 324356307, US

Contacts

Phone

+1 850-951-4500

Authorized person

Name	MR. JAMES A BREWER
Role	CHIEF FINANCIAL OFFICER
Phone	8509514506

Taxonomy

Taxonomy Code	282NR1301X - Rural Acute Care Hospital
Is Primary	Yes

Agent

Name	Role	Address
BEARD GERALD	Agent	4431 U.S. HIGHWAY 331 S, DEFUNIAK SPRINGS, FL, 32435

Chairman

Name	Role	Address
MILLER VAUGHN C	Chairman	POST OFFICE BOX 767, ELKIN, NC, 28621

President

Name	Role	Address
MILLER VAUGHN C	President	POST OFFICE BOX 767, ELKIN, NC, 28621

Director

Name	Role	Address
SPEEDLING SANDON	Director	4431 U.S. HWY 331 S, DEFUNIAK SPRINGS, FL, 32435
BREWER JAMES	Director	4431 U.S. HWY 331 S, DEFUNIAK SPRINGS, FL, 32435

Secretary

Name	Role	Address
SPEEDLING SANDON	Secretary	4431 U.S. HWY 331 S, DEFUNIAK SPRINGS, FL, 32435

Treasurer

Name	Role	Address
BREWER JAMES	Treasurer	4431 U.S. HWY 331 S, DEFUNIAK SPRINGS, FL, 32435

Events

Event Type	Filed Date	Value	Description
REVOKED FOR ANNUAL REPORT	2009-09-25	No data	No data

Documents

Name	Date
Foreign Profit	2008-05-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State