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PACIFICA SERVICES, INC - Florida Company Profile

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Company Details

Entity Name: PACIFICA SERVICES, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 18 Jun 2019 (6 years ago)
Document Number: N19000007160
FEI/EIN Number 30-1023817
Address: 3314 W HendersonBlvd, Ste 100E, TAMPA, FL, 33609, US
Mail Address: 3314 W HendersonBlvd, Ste 100E, TAMPA, FL, 33609, US
ZIP code: 33609
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SIMON JERRY G President 3314 W Henderson Blvd, TAMPA, FL, 33609
Herard Anne M Secretary 500 N Willow Avenue, TAMPA, FL, 33606
Simon Margaret A Vice President 500 N Willow Avenue, TAMPA, FL, 33606
SIMON Margaret A Agent 500 N Willow Avenue, TAMPA, FL, 33606

National Provider Identifier

NPI Number:
1487325775
Certification Date:
2021-09-26

Authorized Person:

Name:
JERRY GORDON SIMON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
8138646741

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-10-31 3314 W HendersonBlvd, Ste 100E, TAMPA, FL 33609 -
CHANGE OF MAILING ADDRESS 2024-10-31 3314 W HendersonBlvd, Ste 100E, TAMPA, FL 33609 -
REGISTERED AGENT NAME CHANGED 2022-04-28 SIMON, Margaret A -
REGISTERED AGENT ADDRESS CHANGED 2022-04-28 3314 W Henderson Blvd, Suite 100P, TAMPA, FL 33609 -

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-04-13
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-06-06
Domestic Non-Profit 2019-06-18

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Date of last update: 01 Aug 2025

Sources: Florida Department of State