| Entity Name: | BREATHE EASY PULMONARY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 May 2000 (25 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 23 Apr 2015 (10 years ago) |
| Document Number: | P00000045053 |
| FEI/EIN Number | 593649453 |
| Address: | 2112 SUNNYDALE BLVD., STE B, CLEARWATER, FL, 33765-1207, US |
| Mail Address: | PO BOX 16264, CLEARWATER, FL, 33766, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386606010 | 2006-04-06 | 2020-05-21 | PO BOX 16264, CLEARWATER, FL, 337666264, US | 2112 SUNNYDALE BLVD STE B, CLEARWATER, FL, 337651207, US | |||||||||||||||||||||
|
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| Phone | +1 727-796-2904 |
| Fax | 7277962965 |
Authorized person
| Name | MS. KIMBERLY ANN JOHNS |
| Role | CEO |
| Phone | 7277962904 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | V2271 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNS KIMBERLY A | Agent | 2112 SUNNYDALE BLVD., CLEARWATER, FL, 337651207 |
| Name | Role | Address |
|---|---|---|
| JOHNS KIMBERLY A | President | 2112 SUNNYDALE BLVD., CLEARWATER, FL, 337651207 |
| Name | Role | Address |
|---|---|---|
| JOHNS KIMBERLY A | Director | 2112 SUNNYDALE BLVD., CLEARWATER, FL, 337651207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000036143 | CLINICARE DIAGNOSTIC MEDICAL SERVICES | ACTIVE | 2016-04-08 | 2026-12-31 | No data | 2112 SUNNYDALE BLVD, STE B, CLEARWATER, FL, 33765 |
| G10000113620 | CLINICARE DIAGNOSTIC MEDICAL SERVICES | EXPIRED | 2010-12-13 | 2015-12-31 | No data | 2194 MAIN STREET, SUITE 1, DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-16 | 2112 SUNNYDALE BLVD., STE B, CLEARWATER, FL 33765-1207 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-09 | 2112 SUNNYDALE BLVD., STE B, CLEARWATER, FL 33765-1207 | No data |
| REINSTATEMENT | 2015-04-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-23 | JOHNS, KIMBERLY A | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-10 | 2112 SUNNYDALE BLVD., STE B, CLEARWATER, FL 33765-1207 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J08900022656 | LAPSED | 08CC147000 | CIR CRT ORANGE CTY | 2008-11-20 | 2013-12-08 | $10844.19 | RACHEL JAKAB, 2041 WEST ALAMEDA AVENUE, ORLANDO, FL 32804 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-04-09 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-04-16 |
| ANNUAL REPORT | 2019-03-24 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-05-16 |
| REINSTATEMENT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
