Entity Name: | NORTH FLORIDA RURAL HEALTH CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Active |
Date Filed: | 08 Jun 2020 (5 years ago) |
Document Number: | N20000006032 |
FEI/EIN Number | 85-2728333 |
Mail Address: | 600 34TH STREET S, ST. PETERSBURG, FL, 33711 |
Address: | 680 maple street, Chattahoochee, FL, 32324, US |
ZIP code: | 32324 |
County: | Gadsden |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1720849540 | 2024-01-18 | 2024-01-18 | 600 34TH ST S, ST PETERSBURG, FL, 337111722, US | 680 MAPLE ST STE 100, CHATTAHOOCHEE, FL, 323241826, US | |||||||||||||||||
|
Phone | +1 850-759-9223 |
Authorized person
Name | WALTER KYLES |
Role | CEO |
Phone | 8509993181 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | Yes |
Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
Is Primary | No |
Name | Role | Address |
---|---|---|
KYLES WALTER | Agent | 600 34TH STREET S, ST. PETERSBURG, FL, 33711 |
Name | Role | Address |
---|---|---|
KYLES WALTER | President | 600 34TH STREET S, ST. PETERSBURG, FL, 33711 |
Name | Role | Address |
---|---|---|
KYLES WHITNEY | Vice President | 600 34TH STREET S, ST. PETERSBURG, FL, 33711 |
Name | Role | Address |
---|---|---|
RICHARD DARCIE | Secretary | 2109 EVERGREEN DRIVE, TALLAHASSEE, FL, 32303 |
Name | Role | Address |
---|---|---|
KYLES RAVEN | Treasurer | 600 34TH STREET S, ST. PETERSBURG, FL, 33711 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-03-31 | 680 maple street, Chattahoochee, FL 32324 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-05-01 |
ANNUAL REPORT | 2023-03-31 |
ANNUAL REPORT | 2022-06-06 |
ANNUAL REPORT | 2021-03-22 |
Domestic Non-Profit | 2020-06-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State