| Entity Name: | HOLLI-STARR INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 15 Jan 2014 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Mar 2017 (8 years ago) |
| Document Number: | N14000000521 |
| FEI/EIN Number | 46-4532982 |
| Address: | 3075 PARTRIDGE DR, PENSACOLA, FL, 32526 |
| Mail Address: | 3075 PARTRIDGE DR, PENSACOLA, FL, 32526 |
| ZIP code: | 32526 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033534326 | 2014-02-24 | 2014-02-24 | 3075 PARTRIDGE DR, PENSACOLA, FL, 325263607, US | 3075 PARTRIDGE DR, PENSACOLA, FL, 325263607, US | |||||||||||||||||||||||
|
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| Phone | +1 850-384-7656 |
Authorized person
| Name | MR. JOHN VALENZUELA ESTARES |
| Role | ADMINSTRATOR |
| Phone | 8503847656 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | 6906454 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003088100 |
| State | FL |
| Name | Role |
|---|---|
| ROCKWELL ACCOUNTING, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ESTARES JOHN V | President | 3075 PARTRIDGE DR, PENSACOLA, FL, 32526 |
| Name | Role | Address |
|---|---|---|
| ESTARES JOHN V | Treasurer | 3075 PARTRIDGE DR, PENSACOLA, FL, 32526 |
| Name | Role | Address |
|---|---|---|
| ESTARES JOHN V | Director | 3075 PARTRIDGE DR, PENSACOLA, FL, 32526 |
| ESTARES MARIE I | Director | 3075 PARTRIDGE DR, PENSACOLA, FL, 32526 |
| Name | Role | Address |
|---|---|---|
| ESTARES MARIE I | Vice President | 3075 PARTRIDGE DR, PENSACOLA, FL, 32526 |
| Name | Role | Address |
|---|---|---|
| ESTARES MARIE I | Secretary | 3075 PARTRIDGE DR, PENSACOLA, FL, 32526 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2017-03-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-27 | ROCKWELL ACCOUNTING LLC | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-05-01 |
| REINSTATEMENT | 2017-03-27 |
| ANNUAL REPORT | 2015-05-01 |
| Domestic Non-Profit | 2014-01-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
