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NORTH FLORIDA WOMEN'S CARE, P.A.

Company Details

Entity Name: NORTH FLORIDA WOMEN'S CARE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Jun 1987 (38 years ago)
Document Number: J78015
FEI/EIN Number 592825211
Address: 1401 CENTERVILLE RD #202, TALLAHASSEE, FL, 32308, US
Mail Address: 1401 CENTERVILLE RD #202, TALLAHASSEE, FL, 32308, US
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790801587 2007-03-22 2021-07-22 1401 CENTERVILLE RD, SUITE 202, TALLAHASSEE, FL, 323084647, US 1401 CENTERVILLE RD, SUITE 202, TALLAHASSEE, FL, 323084647, US

Contacts

Phone +1 850-877-7241
Fax 8508771338

Authorized person

Name MR. WILLIAM HAMBSH
Role CHIEF EXECUTIVE OFFICER
Phone 8508777241

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

Agent

Name Role Address
Harper Gus Esq. Agent 1300 Thomaswood Drive, TALLAHASSEE, FL, 32308

Director

Name Role Address
CLEMENTS, ARTHUR S. Director 1401 CENTERVILLE RD #202, TALLAHASSEE, FL, 32308
BRICKLER AJ Director 1401 CENTERVILLE RD 202, TALLAHASSEE, FL, 32308
DIXON DAVID J Director 1401 CENTERVILLE RD #202, TALLAHASSEE, FL, 32308
MCKINNIE VIKKI M Director 1401 CENTERVILLE RD #202, TALLAHASSEE, FL, 32308
Franz Alexander Director 1401 CENTERVILLE RD #202, TALLAHASSEE, FL, 32308

Chief Executive Officer

Name Role Address
HAMBSH WILLIAM R Chief Executive Officer 1401 CENTERVILLE RD #202, TALLAHASSEE, FL, 32308

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000115203 BECOMING YOU EXPIRED 2009-06-09 2014-12-31 No data 1401 CENTERVILLE ROAD, SUITE 202, TALLAHASSEE, FL, 32308
G98142900129 NORTH FLORIDA WOMEN'S CARE ACTIVE 1998-05-22 2028-12-31 No data 1401 CENTERVILLE ROAD., STE 202, TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
AMENDMENT 2018-04-09 No data No data
NAME CHANGE AMENDMENT 2018-04-04 NORTH FLORIDA WOMEN'S CARE, P.A. No data
AMENDMENT 2016-01-22 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State