| Entity Name: | BAHMAN VENUS, M.D.,P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Feb 1989 (36 years ago) |
| Date of dissolution: | 20 Apr 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Apr 2017 (8 years ago) |
| Document Number: | K62852 |
| FEI/EIN Number | 59-2929965 |
| Address: | 3625 UNIVERSITY BLVD., SOUTH, JACKSONVILLE, FL 32216 |
| Mail Address: | 3625 UNIVERSITY BLVD., SOUTH, JACKSONVILLE, FL 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386721785 | 2006-11-01 | 2011-02-22 | PO BOX 863007, ORLANDO, FL, 328863007, US | 3625 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164207, US | |||||||||||||||||||||||||||
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| Phone | +1 904-396-5558 |
| Fax | 9043964279 |
| Phone | +1 904-399-6111 |
Authorized person
| Name | BRUCE P KRIEGER |
| Role | PRESIDENT |
| Phone | 9043996097 |
Taxonomy
| Taxonomy Code | 207LC0200X - Critical Care Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 062000900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KRIEGER, BRUCE | Agent | 3625 UNIVERSITY BLVD., SOUTH, JACKSONVILLE, FL 32216 |
| Name | Role | Address |
|---|---|---|
| KRIEGER, BRUCE | President | 3625 UNIVERSITY BLVD., SOUTH, JACKSONVILLE, FL 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-23 | 3625 UNIVERSITY BLVD., SOUTH, JACKSONVILLE, FL 32216 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-23 | 3625 UNIVERSITY BLVD., SOUTH, JACKSONVILLE, FL 32216 | No data |
| CANCEL ADM DISS/REV | 2010-03-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-23 | 3625 UNIVERSITY BLVD., SOUTH, JACKSONVILLE, FL 32216 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-23 | KRIEGER, BRUCE | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000414175 | LAPSED | 16-2016-CA-007994 | 4TH JUDICIAL CIRCUIT, DUVAL CO | 2019-02-15 | 2024-06-13 | $2,551,736.00 | SUSAN LAWLOR AND JOHN LAWLOR, 1275 PLUM AVENUE, MERRITT ISLAND, FL 32952-5848 |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2017-04-20 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-11 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-23 |
| ANNUAL REPORT | 2011-03-20 |
| CORAPREIWP | 2010-03-23 |
| ANNUAL REPORT | 2008-02-10 |
| ANNUAL REPORT | 2007-03-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
