| Entity Name: | WALRUS SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Jun 2006 (19 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L06000059835 |
| FEI/EIN Number | 870772834 |
| Address: | 390 S Geronimo St, SUITE #104, MIRAMAR BEACH, FL, 32550, US |
| Mail Address: | 390 S Geronimo St, SUITE #104, MIRAMAR BEACH, FL, 32550, US |
| ZIP code: | 32550 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912254152 | 2012-08-07 | 2012-08-07 | 390 S GERONIMO ST, SUITE #104, MIRAMAR BEACH, FL, 325507020, US | 390 S GERONIMO ST, SUITE #104, MIRAMAR BEACH, FL, 325507020, US | |||||||||||||||||||||||||
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| Phone | +1 850-650-0053 |
| Fax | 8506500075 |
Authorized person
| Name | DR. DOW G. (GUY) WALDEN JR. |
| Role | OWNER/C.O.O. |
| Phone | 3216892072 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 691154496 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 691154496 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WALDEN JR DOW G | Agent | 731 Marina Pointe Dr, DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| CAPECE LOUIS | Managing Member | 731 Marina Point Dr, Daytona Beach, FL, 32114 |
| WALDEN Jr DOW GPhd | Managing Member | 538 Mallet Bayou Rd, Freeport, FL, 32439 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-23 | 390 S Geronimo St, SUITE #104, MIRAMAR BEACH, FL 32550 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-23 | 731 Marina Pointe Dr, DAYTONA BEACH, FL 32114 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-25 | 390 S Geronimo St, SUITE #104, MIRAMAR BEACH, FL 32550 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-04-08 | WALDEN JR, DOW GMGRM | No data |
| REINSTATEMENT | 2007-10-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-04-17 |
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-04-28 |
| ANNUAL REPORT | 2011-04-08 |
| ANNUAL REPORT | 2010-04-08 |
| ANNUAL REPORT | 2009-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
