| Entity Name: | ROBERT F. TRAVIS, JR. D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Feb 1988 (37 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | K16568 |
| FEI/EIN Number | 59-2876491 |
| Address: | 4114 HERSCHEL ST., JACKSONVILLE, FL 32210 |
| Mail Address: | 4114 HERSCHEL ST., JACKSONVILLE, FL 32210 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043474083 | 2008-07-17 | 2008-07-17 | 4114 HERSCHEL STREET, JACKSONVILLE, FL, 32210, US | 4114 HERSCHEL ST, JACKSONVILLE, FL, 322102206, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 904-384-1240 |
| Fax | 9043844912 |
Authorized person
| Name | DR. ROBERT F TRAVIS, JR. |
| Role | PRESIDENT |
| Phone | 9043841240 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 0004648345 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 70487 |
| State | GA |
| Name | Role | Address |
|---|---|---|
| TRAVIS, ROBERT FJR | Agent | 4114 HERSCHEL ST., JACKSONVILLE, FL 32210 |
| Name | Role | Address |
|---|---|---|
| TRAVIS, ROBERT F. JR. | President | 3418 RIVERSIDE AVE, JACKSONVILLE, FL 32205 |
| Name | Role | Address |
|---|---|---|
| TRAVIS, GERALDINE M. | Vice President | 3418 RIVERSIDE AVE, JACKSONVILLE, FL 32205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-14 | 4114 HERSCHEL ST., JACKSONVILLE, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-14 | 4114 HERSCHEL ST., JACKSONVILLE, FL 32210 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-14 | 4114 HERSCHEL ST., JACKSONVILLE, FL 32210 | No data |
| REGISTERED AGENT NAME CHANGED | 2000-09-20 | TRAVIS, ROBERT FJR | No data |
| REINSTATEMENT | 2000-09-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1990-11-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-14 |
| ANNUAL REPORT | 2008-04-25 |
| ANNUAL REPORT | 2007-01-11 |
| ANNUAL REPORT | 2006-09-08 |
| ANNUAL REPORT | 2005-01-31 |
| ANNUAL REPORT | 2004-08-30 |
| ANNUAL REPORT | 2003-02-21 |
| ANNUAL REPORT | 2002-02-14 |
| ANNUAL REPORT | 2001-01-16 |
| REINSTATEMENT | 2000-09-20 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
