| Entity Name: | CITRUS COUNTY RURAL HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Apr 2020 (5 years ago) |
| Document Number: | N20000004152 |
| FEI/EIN Number | 85-0806288 |
| Address: | 927 North Citrus Avenue, Crystal River, FL 34428 |
| Mail Address: | 927 N Citrus Ave, Crystal River, FL 34428 |
| ZIP code: | 34428 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184379224 | 2022-02-17 | 2022-03-21 | 14918 N FLORIDA AVE, TAMPA, FL, 336131632, US | 927 N CITRUS AVE, CRYSTAL RIVER, FL, 344283422, US | |||||||||||||
|
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| Phone | +1 352-565-7342 |
Authorized person
| Name | JENNIFER MARTINEZ |
| Role | MANAGER |
| Phone | 8133353200 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Muhammad, Tariq A, CEO | Agent | 927 N Citrus Ave, Crystal River, FL 34428 |
| Name | Role | Address |
|---|---|---|
| Welfel, Aspen | Chairman | 927 N Citrus Ave, Crystal River, FL 34428 |
| Name | Role | Address |
|---|---|---|
| Niblett, Kelly | Vice Chairman | 927 N Citrus Ave, Crystal River, FL 34428 |
| Name | Role | Address |
|---|---|---|
| Baumer, Steven | Treasurer | 927 N Citrus Ave, Crystal River, FL 34428 |
| Name | Role | Address |
|---|---|---|
| Muhammad, Tariq A | Chief Executive Officer | 927 N Citrus Ave, Crystal River, FL 34428 |
| Name | Role | Address |
|---|---|---|
| Moyer, Brian | Director | 927 N Citrus Ave, Crystal River, FL 34428 |
| Einspahr, Michael | Director | 927 N Citrus Ave, Crystal River, FL 34428 |
| Wade, Kalee | Director | 927 N Citrus Ave, Crystal River, FL 34428 |
| Martinez, Jennifer | Director | 927 N Citrus Ave, Crystal River, FL 34428 |
| Jernigan, Christine | Director | 927 N Citrus Ave, Crystal River, FL 34428 |
| Name | Role |
|---|---|
| KIRBY LYNNE, LLC | Secretary |
| Name | Role | Address |
|---|---|---|
| Hoeflich, Wendy | Chief Financial Officer | 927 N Citrus Ave, Crystal River, FL 34428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-12-17 | Muhammad, Tariq A, CEO | No data |
| CHANGE OF MAILING ADDRESS | 2024-12-17 | 927 North Citrus Avenue, Crystal River, FL 34428 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-12-17 | 927 N Citrus Ave, Crystal River, FL 34428 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-30 | 225 E. Robinson Street, Suite 600, Orlando, FL 32801 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-05-30 | Evans, David L | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-25 | 927 North Citrus Avenue, Crystal River, FL 34428 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-25 | 927 North Citrus Avenue, Crystal River, FL 34428 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| AMENDED ANNUAL REPORT | 2024-12-17 |
| ANNUAL REPORT | 2024-04-22 |
| AMENDED ANNUAL REPORT | 2023-05-30 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| Domestic Non-Profit | 2020-04-20 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
