| Entity Name: | NORTH FLORIDA REHABILITATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 25 Jul 1989 (36 years ago) |
| Date of dissolution: | 21 May 2009 (16 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 May 2009 (16 years ago) |
| Document Number: | L04122 |
| FEI/EIN Number | 59-2957728 |
| Address: | 404 NW HALL OF FAME DR, LAKE CITY, FL 32055 |
| Mail Address: | PO BOX 2134, LAKE CITY, FL 32056 |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679620710 | 2007-01-04 | 2020-08-22 | PO BOX 2134, LAKE CITY, FL, 320562134, US | 404 NW HALL OF FAME DR, LAKE CITY, FL, 320554833, US | |||||||||||||||||||||||||||||||
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| Phone | +1 386-758-2238 |
| Fax | 3867582071 |
Authorized person
| Name | MS. JANET S. OAKES |
| Role | PRESIDENT |
| Phone | 3867582238 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | PT5220 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AVMED PROV NUMBER |
| Number | 256082 |
| State | FL |
| Issuer | BLUE CROSS PROV NUMBER |
| Number | R1C |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OAKES, JANET S. | Agent | 406 SW OAK WAY, LAKE CITY, FL 32025 |
| Name | Role | Address |
|---|---|---|
| YAXLEY, CHRISTINE J | Director | 818 SW BISHOP RD, LAKE CITY, FL 32024 |
| OAKES, JANET S. | Director | 406 SW OAK WAY, LAKE CITY, FL 32025 |
| Name | Role | Address |
|---|---|---|
| YAXLEY, CHRISTINE J | Vice President | 818 SW BISHOP RD, LAKE CITY, FL 32024 |
| Name | Role | Address |
|---|---|---|
| YAXLEY, CHRISTINE J | Secretary | 818 SW BISHOP RD, LAKE CITY, FL 32024 |
| Name | Role | Address |
|---|---|---|
| OAKES, JANET S. | President | 406 SW OAK WAY, LAKE CITY, FL 32025 |
| Name | Role | Address |
|---|---|---|
| OAKES, JANET S. | Treasurer | 406 SW OAK WAY, LAKE CITY, FL 32025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2009-05-21 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-24 | 406 SW OAK WAY, LAKE CITY, FL 32025 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-28 | 404 NW HALL OF FAME DR, LAKE CITY, FL 32055 | No data |
| CHANGE OF MAILING ADDRESS | 1996-04-16 | 404 NW HALL OF FAME DR, LAKE CITY, FL 32055 | No data |
| REGISTERED AGENT NAME CHANGED | 1990-08-13 | OAKES, JANET S. | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2009-05-21 |
| ANNUAL REPORT | 2008-04-29 |
| ANNUAL REPORT | 2007-05-01 |
| ANNUAL REPORT | 2006-04-24 |
| ANNUAL REPORT | 2005-04-28 |
| ANNUAL REPORT | 2004-04-28 |
| ANNUAL REPORT | 2003-04-24 |
| ANNUAL REPORT | 2002-04-22 |
| ANNUAL REPORT | 2001-03-12 |
| ANNUAL REPORT | 2000-05-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
