| Entity Name: | AUDIOLOGICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 May 2001 (24 years ago) |
| Date of dissolution: | 01 Mar 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Mar 2023 (2 years ago) |
| Document Number: | P01000049968 |
| FEI/EIN Number | 593720869 |
| Address: | 675 W. LUMSDEN ROAD, BRANDON, FL, 33511, US |
| Mail Address: | 675 W. LUMSDEN ROAD, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417008434 | 2007-01-16 | 2018-06-21 | 675 W LUMSDEN RD, BRANDON, FL, 335115911, US | 675 W LUMSDEN RD, BRANDON, FL, 335115911, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-643-1652 |
| Fax | 8136431786 |
Authorized person
| Name | DR. MARIA ELENA ROMERO |
| Role | PRESIDENT AUDIOLOGIST |
| Phone | 8136431652 |
Taxonomy
| Taxonomy Code | 231H00000X - Audiologist |
| License Number | AY979 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CIGNA NUMBER |
| Number | 6556665 |
| State | FL |
| Issuer | AETNA NUMBER |
| Number | 7640640 |
| State | FL |
| Issuer | BCBS OF FL NUMBER |
| Number | S2353 |
| State | FL |
| Issuer | MEDICAID |
| Number | 600266800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROMERO MARIA E | Agent | 2305 TIMBERGROVE DRIVE, VALRICO, FL, 33596 |
| Name | Role | Address |
|---|---|---|
| ROMERO MARIA E | President | 2305 TIMBERGROVE DRIVE, VALRICO, FL, 33596 |
| Name | Role | Address |
|---|---|---|
| ROMERO REYNOLD J | Secretary | 2305 TIMBERGROVE DRIVE, VALRICO, FL, 33596 |
| Name | Role | Address |
|---|---|---|
| ROMERO REYNOLD J | Treasurer | 2305 TIMBERGROVE DRIVE, VALRICO, FL, 33596 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-30 | 675 W. LUMSDEN ROAD, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2012-03-30 | 675 W. LUMSDEN ROAD, BRANDON, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-16 | 2305 TIMBERGROVE DRIVE, VALRICO, FL 33596 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2023-03-01 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-02-26 |
| ANNUAL REPORT | 2015-03-06 |
| ANNUAL REPORT | 2014-03-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
