| Entity Name: | LARRY E. RENEKER D.O., PA. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Aug 2001 (24 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P01000080680 |
| FEI/EIN Number | 593736745 |
| Address: | 61 MEMORIAL MEDICAL PKWY, #2804, PALM COAST, FL, 32164, US |
| Mail Address: | PO BOX 37, FLAGLER BEACH, FL, 32136, US |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689641433 | 2006-03-01 | 2007-10-01 | PO BOX 37, FLAGLER BEACH, FL, 321360037, US | 61 MEMORIAL MEDICAL PKWY, STE: 2804, PALM COAST, FL, 321645981, US | |||||||||||||||||||
|
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| Phone | +1 386-586-0035 |
| Fax | 3865860490 |
Authorized person
| Name | DR. LARRY EARL RENEKER |
| Role | PHYSICIAN |
| Phone | 3865860035 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS7082 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOGUIDICE JOSEPH A | Agent | 1515A RIDGEWOOD AVE., HOLLY HILL, FL, 32117 |
| Name | Role | Address |
|---|---|---|
| RENEKER LARRY E | Director | 61 MEMORIAL MEDICAL PKWY., STE:2804, PALM COAST, FL, 32164 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-23 | 1515A RIDGEWOOD AVE., HOLLY HILL, FL 32117 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-13 | 61 MEMORIAL MEDICAL PKWY, #2804, PALM COAST, FL 32164 | No data |
| CHANGE OF MAILING ADDRESS | 2005-04-13 | 61 MEMORIAL MEDICAL PKWY, #2804, PALM COAST, FL 32164 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-02-13 |
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-01-10 |
| ANNUAL REPORT | 2012-04-11 |
| ANNUAL REPORT | 2011-02-17 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-02-23 |
| ANNUAL REPORT | 2008-07-29 |
| ANNUAL REPORT | 2007-04-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
