| Entity Name: | NEW HORIZONS: WOMEN'S MEDICAL GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 May 2001 (24 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P01000047060 |
| FEI/EIN Number | 593719173 |
| Address: | 3901 UNIVERSITY BLVD SOUTH, STE 215, JACKSONVILLE, FL, 32216 |
| Mail Address: | 3901 UNIVERSITY BLVD SOUTH, STE 215, JACKSONVILLE, FL, 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114910924 | 2005-08-26 | 2020-08-22 | 3901 UNIVERSITY BLVD S, SUITE 215, JACKSONVILLE, FL, 322164377, US | 802 PORT WINE LN, JACKSONVILLE, FL, 322255230, US | |||||||||||||||||||||||
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| Phone | +1 904-296-3200 |
| Fax | 9042960069 |
| Phone | +1 904-220-3725 |
Authorized person
| Name | MS. DEBBIE WILLIS |
| Role | BUSINESS ADMINISTRATOR |
| Phone | 9042810780 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 45591 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSON KELLEY P | Agent | 3901 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| MARTIN ANGELA S | President | 3901 UNIVERSITY BLVD, SO STE 215, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| MACKSEY JOAN M | Vice President | 3901 UNIVERSITY BLVD SO STE 215, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-02-19 | JOHNSON, KELLEY P | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-10-06 | 3901 UNIVERSITY BLVD SOUTH, STE 215, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-03-18 | 3901 UNIVERSITY BLVD SOUTH, STE 215, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2002-03-18 | 3901 UNIVERSITY BLVD SOUTH, STE 215, JACKSONVILLE, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-03-10 |
| ANNUAL REPORT | 2009-02-02 |
| ANNUAL REPORT | 2008-02-19 |
| ANNUAL REPORT | 2007-01-17 |
| ANNUAL REPORT | 2006-01-25 |
| ANNUAL REPORT | 2005-01-20 |
| ANNUAL REPORT | 2004-04-14 |
| Reg. Agent Change | 2003-10-06 |
| ANNUAL REPORT | 2003-03-26 |
| ANNUAL REPORT | 2002-03-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
