| Entity Name: | SUNSHINE STATE MIDWIFERY SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Apr 2018 (7 years ago) |
| Date of dissolution: | 28 Mar 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Mar 2020 (5 years ago) |
| Document Number: | L18000098974 |
| FEI/EIN Number | 82-5331984 |
| Address: | 1988 ASHTON ST, MIDDLEBURG, FL 32086 |
| Mail Address: | 1988 ASHTON ST, MIDDLEBURG, FL 32086 |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508331349 | 2018-10-08 | 2018-10-11 | 1988 ASHTON ST, MIDDLEBURG, FL, 320686915, US | 1988 ASHTON ST, MIDDLEBURG, FL, 320686915, US | |||||||||||||||||||||
|
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| Phone | +1 904-717-4994 |
| Fax | 9047585338 |
Authorized person
| Name | JENNIFER M STONE |
| Role | OWNER/MIDWIFE |
| Phone | 9047174994 |
Taxonomy
| Taxonomy Code | 176B00000X - Midwife |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100152100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STONE, JENNIFER M | Agent | 1988 ASHTON ST, MIDDLEBURG, FL 32086 |
| Name | Role | Address |
|---|---|---|
| STONE, JENNIFER M | Manager | 1988 ASHTON ST, MIDDLEBURG, FL 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-28 | No data | No data |
| LC AMENDMENT | 2019-02-25 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-28 |
| LC Amendment | 2019-02-25 |
| ANNUAL REPORT | 2019-01-27 |
| Florida Limited Liability | 2018-04-19 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
