| Entity Name: | HNI MEDICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 Jun 2011 (14 years ago) |
| Date of dissolution: | 29 Dec 2021 (3 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 29 Dec 2021 (3 years ago) |
| Document Number: | F11000002369 |
| FEI/EIN Number |
800725733
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7500 RIALTO BLVD. Building 1, Suite 140, AUSTIN, TX, 78735, US |
| Mail Address: | 7500 RIALTO BLVD., BLDG. 1, STE. 140, AUSTIN, TX, 78735 |
| Place of Formation: | TEXAS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174974703 | 2016-06-24 | 2019-07-16 | 7500 RIALTO BLVD STE 1-140, AUSTIN, TX, 787358534, US | 8971 DANIELS CENTER DR, SUITE 307, FORT MYERS, FL, 339120310, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 512-730-3060 |
| Fax | 8887301925 |
Authorized person
| Name | SCOTT KLOSTERMAN |
| Role | CFO |
| Phone | 5127303056 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BLAKE HUGO G | Director | 7500 RIALTO BLVD Building 1 Suite 140, AUSTIN, TX, 78735 |
| Gomez Adriana M | Director | 7500 RIALTO BLVD. Building 1, Suite 140, AUSTIN, TX, 78735 |
| TOVAR REUBEN | Director | 7500 RIALTO BLVD. Building 1, Suite 140, AUSTIN, TX, 78735 |
| Gonzales Michael | President | 7500 RIALTO BLVD. Building 1, Suite 140, AUSTIN, TX, 78735 |
| Ung Oon Soo | Chief Financial Officer | 7500 RIALTO BLVD. Building 1, Suite 140, AUSTIN, TX, 78735 |
| Tovar Reuben G | Secretary | 7500 RIALTO BLVD. Building 1, Suite 140, AUSTIN, TX, 78735 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2021-12-29 | - | - |
| CHANGE OF MAILING ADDRESS | 2021-12-29 | 7500 RIALTO BLVD. Building 1, Suite 140, AUSTIN, TX 78735 | - |
| REGISTERED AGENT CHANGED | 2021-12-29 | REGISTERED AGENT REVOKED | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-11-17 | 7500 RIALTO BLVD. Building 1, Suite 140, AUSTIN, TX 78735 | - |
| Name | Date |
|---|---|
| WITHDRAWAL | 2021-12-29 |
| ANNUAL REPORT | 2021-07-26 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-05-02 |
| AMENDED ANNUAL REPORT | 2015-11-17 |
| ANNUAL REPORT | 2015-02-22 |
| ANNUAL REPORT | 2014-05-07 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
