| Entity Name: | NORTH FLORIDA RESPIRATORY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Nov 1998 (26 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | L98000002748 |
| FEI/EIN Number | 59-3543210 |
| Address: | 19 SHADEVILLE HWY, CRAWFORDVILLE, FL 32327 |
| Mail Address: | P.O. BOX 1635, CRAWFORDVILLE, FL 32326 |
| ZIP code: | 32327 |
| County: | Wakulla |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629079900 | 2005-08-09 | 2020-08-22 | PO BOX 1635, CRAWFORDVILLE, FL, 323261635, US | 19 SHADEVILLE RD, CRAWFORDVILLE, FL, 323272316, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 859-926-7122 |
| Fax | 8509269766 |
Authorized person
| Name | MRS. VICKIE DIANNE BROWN |
| Role | OWNER |
| Phone | 8509267122 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 280 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 01847 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD # |
| Number | R8839 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GEEKER, VAN P | Agent | IGLER & DOUGHERTY, P.A., 1501 PARK AVENUE EAST, TALLAHASSEE, FL 32301 |
| Name | Role | Address |
|---|---|---|
| BROWN, VICKIE | Managing Member | 320 REHWINKLE ROAD, CRAWFORDVILLE, FL 32327 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-13 | 19 SHADEVILLE HWY, CRAWFORDVILLE, FL 32327 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-04-12 | IGLER & DOUGHERTY, P.A., 1501 PARK AVENUE EAST, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF MAILING ADDRESS | 1999-04-20 | 19 SHADEVILLE HWY, CRAWFORDVILLE, FL 32327 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-01-11 |
| ANNUAL REPORT | 2005-04-13 |
| ANNUAL REPORT | 2004-03-26 |
| LIMITED LIABILITY CORPORATION | 2003-01-07 |
| Reg. Agent Change | 2002-04-12 |
| ANNUAL REPORT | 2002-01-24 |
| ANNUAL REPORT | 2001-03-12 |
| ANNUAL REPORT | 2000-02-02 |
| ANNUAL REPORT | 1999-04-20 |
| Florida Limited Liabilites | 1998-11-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
