| Entity Name: | RESPIRATORY SERVICES OF NORTHWEST FLORIDA INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 12 Mar 1997 (28 years ago) |
| Date of dissolution: | 08 Apr 2021 (4 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 08 Apr 2021 (4 years ago) |
| Document Number: | F97000001264 |
| FEI/EIN Number | 593422085 |
| Address: | 502 E. PINE AVE., STE B, CRESTVIEW, FL, 32539 |
| Mail Address: | 502 E PINE AVENUE, CRESTVIEW, FL, 32539, UN |
| ZIP code: | 32539 |
| County: | Okaloosa |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831379056 | 2007-11-05 | 2018-08-10 | 502 E PINE AVE STE B, CRESTVIEW, FL, 325392818, US | 502 E PINE AVE STE B, CRESTVIEW, FL, 32539, US | |||||||||||||||||||||||||
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| Phone | +1 850-689-5499 |
| Fax | 8506895498 |
Authorized person
| Name | MS. NANCY E ENFINGER |
| Role | PRESIDENT |
| Phone | 8506895499 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 321579 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 951941600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Enfinger Nancy E | President | 4440 Antioch rd, Crestview, FL, 32536 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000024701 | MYCPAP.NET | EXPIRED | 2015-03-09 | 2020-12-31 | No data | 502 E. PINE AVE. SUITE B, CRESTVIEW, FL, 32539 |
| G15000019246 | MYCPAP.NET | ACTIVE | 2015-02-23 | 2025-12-31 | No data | 502 E. PINE SUITE B, CRESTVIEW, FL, 32539 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2021-04-08 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-08 | 502 E. PINE AVE., STE B, CRESTVIEW, FL 32539 | No data |
| REGISTERED AGENT CHANGED | 2021-04-08 | REGISTERED AGENT REVOKED | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-09-29 | 502 E. PINE AVE., STE B, CRESTVIEW, FL 32539 | No data |
| Name | Date |
|---|---|
| WITHDRAWAL | 2021-04-08 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-17 |
| ANNUAL REPORT | 2015-02-16 |
| AMENDED ANNUAL REPORT | 2014-01-15 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-04-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
