| Entity Name: | PHYSICIANS HEALTH NETWORK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 03 Sep 1985 (39 years ago) |
| Document Number: | N10949 |
| FEI/EIN Number | 592570431 |
| Address: | 3520 THOMASVILLE ROAD, SUITE 200, TALLAHASSEE, FL, 32308 |
| Mail Address: | 3520 THOMASVILLE ROAD, SUITE 200, TALLAHASSEE, FL, 32308 |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| PENNINGTON CARL R. JR. | Agent | 3375-A CAPITAL CIRCLE NE, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| SMITH, J. ORSON M.D. | President | 1401 CENTERVILLE RD,#400, TALLAHASSEE, FL |
| Name | Role | Address |
|---|---|---|
| SMITH, J. ORSON M.D. | Director | 1401 CENTERVILLE RD,#400, TALLAHASSEE, FL |
| HANSEN, GARY M.D. | Director | 1609 PHYSICIANS DR, TALLAHASSEE, FL |
| JUDELLE, JESSE M.D. | Director | 1401 CENTERVILLE RD #800, TALLAHASSEE, FL |
| BRICKLER, ALEX M.D. | Director | 1705 S ADAMS ST, TALLAHASSEE, FL |
| LONG, WILLILAM M.D. | Director | 1401 CENTERVILLE RD,#705, TALLAHASSEE, FL |
| WASSON, KENNETH M.D. | Director | 1401 CENTERVILLE RD,#502, TALLAHASSEE, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 1993-05-12 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
