| Entity Name: | ADRIA I. JOHNSON, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Nov 2000 (24 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P00000103423 |
| FEI/EIN Number | 593674496 |
| Address: | 2511 St Johns Bluff Road, JACKSONVILLE, FL, 32246, US |
| Mail Address: | P.O. BOX 550788, JACKSONVILLE, FL, 32255-0788, US |
| ZIP code: | 32246 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295035970 | 2010-10-27 | 2010-10-27 | PO BOX 550788, JACKSONVILLE, FL, 322550788, US | 6028 BENNETT RD, JACKSONVILLE, FL, 322165004, US | |||||||||||||||||
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| Phone | +1 904-703-4539 |
Authorized person
| Name | ADRIA JOHNSON |
| Role | PRESIDENT |
| Phone | 9047034539 |
Taxonomy
| Taxonomy Code | 2081N0008X - Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | ME0072622 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAFER ELIOT J | Agent | 4348 SOUTHPOINT BLVD, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| JOHNSON ADRIA | Director | P.O. BOX 550788, JACKSONVILLE, FL, 322550788 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-17 | 2511 St Johns Bluff Road, 201, JACKSONVILLE, FL 32246 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-18 | 4348 SOUTHPOINT BLVD, SUITE 101, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2007-05-01 | 2511 St Johns Bluff Road, 201, JACKSONVILLE, FL 32246 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-17 |
| ANNUAL REPORT | 2015-04-12 |
| ANNUAL REPORT | 2014-04-03 |
| ANNUAL REPORT | 2013-03-26 |
| ANNUAL REPORT | 2012-04-18 |
| ANNUAL REPORT | 2011-04-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
