Search icon

M&D PROVIDER SERVICES, INC. - Florida Company Profile

Company Details

Entity Name: M&D PROVIDER SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
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: 24 Sep 2002 (22 years ago)
Date of dissolution: 26 Sep 2008 (16 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2008 (16 years ago)
Document Number: N02000007286
FEI/EIN Number 593489909

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2627 CARSON OAKS DRIVE, JACKSONVILLE, FL, 32221, US
Mail Address: 2627 CARSON OAKS DRIVE, JACKSONVILLE, FL, 32221, US
ZIP code: 32221
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962561944 2006-12-06 2020-08-22 2627 CARSON OAKS DR, JACKSONVILLE, FL, 322212879, US 2627 CARSON OAKS DR, JACKSONVILLE, FL, 322212879, US

Contacts

Phone +1 904-521-2836
Fax 9046834713

Authorized person

Name DEBORAH M AXLE
Role HOMECARE DIRECTOR
Phone 9045212836

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number 229601
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
AXLE DEBORAH M Director 2627 CARSON OAKS DRIVE, JACKSONVILLE, FL, 32221
SIMPSON ANTENET N Treasurer 803 BELLSHIRE DRIVE, ORANGE PARK, FL, 32065
KNIGHT ROBYN S Agent 2825 PARK STREET, JACKSONVILLE, FL, 32205

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -
CANCEL ADM DISS/REV 2007-02-10 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -
CANCEL ADM DISS/REV 2005-05-12 - -
CHANGE OF PRINCIPAL ADDRESS 2005-05-12 2627 CARSON OAKS DRIVE, JACKSONVILLE, FL 32221 -
CHANGE OF MAILING ADDRESS 2005-05-12 2627 CARSON OAKS DRIVE, JACKSONVILLE, FL 32221 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J12000744402 LAPSED 1000000321986 DUVAL 2012-10-16 2022-10-25 $ 3,835.58 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825

Documents

Name Date
REINSTATEMENT 2007-02-10
REINSTATEMENT 2005-05-12
ANNUAL REPORT 2003-02-17
Domestic Non-Profit 2002-09-24

Date of last update: 02 Mar 2025

Sources: Florida Department of State