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CORY MCCORMICK, LLC

Company Details

Entity Name: CORY MCCORMICK, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Oct 2018 (6 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Apr 2021 (4 years ago)
Document Number: L18000253716
FEI/EIN Number 83-2394046
Address: 710 13TH AVENUE SOUTH, JACKSONVILLE BEACH, FL 32250
Mail Address: 710 13TH AVENUE SOUTH, JACKSONVILLE BEACH, FL 32250
ZIP code: 32250
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043069115 2024-05-13 2024-05-14 710 13TH AVE S, JACKSONVILLE, FL, 322505032, US 710 13TH AVE S, JACKSONVILLE, FL, 322505032, US

Contacts

Phone +1 904-322-3474

Authorized person

Name CORY LEE MCCORMICK
Role OWNER
Phone 9043223474

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
McCormick, Cory L Agent 710 13TH AVENUE SOUTH, JACKSONVILLE, FL 32250

Manager

Name Role Address
MCCORMICK, CORY L Manager 710 13TH AVENUE SOUTH, JACKSONVILLE BEACH, FL 32250

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-04-15 No data No data
REGISTERED AGENT NAME CHANGED 2021-04-15 McCormick, Cory L No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-20
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-03-02
REINSTATEMENT 2021-04-15
ANNUAL REPORT 2019-04-24
Florida Limited Liability 2018-10-29

Date of last update: 16 Feb 2025

Sources: Florida Department of State