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JOHN A. FETCHERO, JR., D.O., P.A. - Florida Company Profile

Company Details

Entity Name: JOHN A. FETCHERO, JR., D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JOHN A. FETCHERO, JR., D.O., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 21 Apr 2000 (25 years ago)
Date of dissolution: 23 Sep 2016 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (9 years ago)
Document Number: P00000040375
FEI/EIN Number 593645084

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2862 Country Club Blvd, Orange Park, FL, 32073, US
Mail Address: 2862 COUNTRY CLUB BLVD., ORANGE PARK, FL, 32073
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457397499 2006-06-20 2010-09-30 2862 COUNTRY CLUB BLVD, ORANGE PARK, FL, 320735728, US 1542 KINGSLEY AVE STE 140, ORANGE PARK, FL, 320734547, US

Contacts

Phone +1 904-278-3820
Fax 9042783849

Authorized person

Name JOHN ANTHONY FETCHERO JR.
Role PRESIDENT
Phone 9042783820

Taxonomy

Taxonomy Code 207YX0905X - Otolaryngology/Facial Plastic Surgery Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 048447400
State FL

Key Officers & Management

Name Role Address
FETCHERO JOHN A Agent 2862 COUNTRY CLUB BLVD, ORANGE PARK, FL, 32073
FETCHERO JOHN A President 2862 COUNTRY CLUB BLVD, ORANGE PARK, FL, 32073
FETCHERO WYNONA A Vice President 2862 COUNTRY CLUB BLVD, ORANGE PARK, FL, 32073

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2015-01-15 2862 Country Club Blvd, Orange Park, FL 32073 -
REGISTERED AGENT ADDRESS CHANGED 2001-01-23 2862 COUNTRY CLUB BLVD, ORANGE PARK, FL 32073 -
CHANGE OF MAILING ADDRESS 2000-06-27 2862 Country Club Blvd, Orange Park, FL 32073 -
AMENDMENT 2000-06-12 - -
REGISTERED AGENT NAME CHANGED 2000-06-12 FETCHERO, JOHN AJR. -

Documents

Name Date
ANNUAL REPORT 2015-01-15
ANNUAL REPORT 2014-01-14
ANNUAL REPORT 2013-02-19
ANNUAL REPORT 2012-01-05
ANNUAL REPORT 2011-02-17
ANNUAL REPORT 2010-01-06
ANNUAL REPORT 2009-02-13
ANNUAL REPORT 2008-01-06
ANNUAL REPORT 2007-01-07
ANNUAL REPORT 2006-02-12

Date of last update: 02 Apr 2025

Sources: Florida Department of State