| 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 |
| 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 | |||||||||||||||||||
|
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| 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 |
| 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 |
| 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 | - | - |
| 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 |
| 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
