| Entity Name: | HODGES BEACH PHYSICAL REHABILITATION PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Sep 2009 (15 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L09000090037 |
| FEI/EIN Number | 270955933 |
| Address: | 13947 BEACH BLVD, 202, JACKSONVILLE, FL, 32224, US |
| Mail Address: | 13947 BEACH BLVD, 202, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528396199 | 2009-11-19 | 2009-11-19 | 13947 BEACH BLVD STE 202, JACKSONVILLE, FL, 322241200, US | 13947 BEACH BLVD STE 202, JACKSONVILLE, FL, 322241200, US | |||||||||||||||||||
|
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| Phone | +1 904-223-3330 |
| Fax | 9042234560 |
Authorized person
| Name | RICHARD RAY BLOOM SR. |
| Role | OWNER/CHIROPRACTOR |
| Phone | 9042233330 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8853 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DR. BLOOM RICHARD R | Agent | 13947 BEACH BLVD., JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| BLOOM RICHARD R | Managing Member | 13947 BEACH BLVD, JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REINSTATEMENT | 2011-01-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-21 | 13947 BEACH BLVD, 202, JACKSONVILLE, FL 32224 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-21 | 13947 BEACH BLVD., SUITE 202, JACKSONVILLE, FL 32224 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-21 | 13947 BEACH BLVD, 202, JACKSONVILLE, FL 32224 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-01-21 | DR. BLOOM, RICHARD RSR. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000987363 | LAPSED | 1000000511035 | DUVAL | 2013-05-16 | 2023-05-22 | $ 1,413.61 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| J12000932064 | LAPSED | 1000000300587 | DUVAL | 2012-12-03 | 2022-12-05 | $ 1,239.14 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2011-01-21 |
| Florida Limited Liability | 2009-09-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
