| Entity Name: | DR. ROSANN W. FAULL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DR. ROSANN W. FAULL LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 07 Jul 2009 (16 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L09000065399 |
| FEI/EIN Number |
900510431
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1729 Southcreek Drive, Jacksonville, FL, 32259, US |
| Mail Address: | 1729 Southcreek Drive, Jacksonville, FL, 32259, US |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386974707 | 2010-01-07 | 2010-01-07 | 12276 SAN JOSE BLVD, SUITE 710, JACKSONVILLE, FL, 322238628, US | 12276 SAN JOSE BLVD, SUITE 710, JACKSONVILLE, FL, 322238628, US | |||||||||||||||||||||||||
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| Phone | +1 904-262-5550 |
| Fax | 9046834592 |
Authorized person
| Name | ROSANN W FAULL |
| Role | AUDIOLOGIST/PRESIDENT |
| Phone | 9042625550 |
Taxonomy
| Taxonomy Code | 237600000X - Audiologist-Hearing Aid Fitter |
| License Number | AY 496 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUECROSS/BLUESHIELD |
| Number | J000A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FAULL ROSANN W | Manager | 1729 Southcreek Drive, Jacksonville, FL, 32259 |
| FAULL ARTHUR V | Managing Member | 1729 Southcreek Drive, Jacksonville, FL, 32259 |
| FAULL ARTHUR | Agent | 1729 Southcreek Drive, Jacksonville, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-08 | 1729 Southcreek Drive, Jacksonville, FL 32259 | - |
| CHANGE OF MAILING ADDRESS | 2018-03-08 | 1729 Southcreek Drive, Jacksonville, FL 32259 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-08 | 1729 Southcreek Drive, Jacksonville, FL 32259 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-04-15 |
| ANNUAL REPORT | 2012-06-12 |
| ANNUAL REPORT | 2011-04-26 |
| ANNUAL REPORT | 2010-01-13 |
| Florida Limited Liability | 2009-07-07 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
