| Entity Name: | DJRJ2 INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Dec 2001 (23 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P01000116229 |
| FEI/EIN Number | 593758746 |
| Address: | 1037 US HWY 90 WEST, SUITE# 130, LAKE CITY, FL, 32055 |
| Mail Address: | P.O. BOX 805, LAKE CITY, FL, 32024 |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164676771 | 2008-11-10 | 2008-11-10 | PO BOX 805, LAKE CITY, FL, 320560805, US | 4225 NW AMERICAN LN, LAKE CITY, FL, 320558841, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-755-9190 |
| Phone | +1 386-365-3845 |
Authorized person
| Name | DR. JOSEPH MICHAEL CHARL3S JR. |
| Role | OWNER |
| Phone | 3863653845 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | ME82558 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 274840100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHARLES JOSEPH M | Agent | 337 NW FAIRWAY DRIVE, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| CHARLES JOSEPH M | Chief Executive Officer | PO BOX 805, LAKE CITY, FL, 32024 |
| Name | Role | Address |
|---|---|---|
| JOSLYN CHARLES V | Vice President | 356 SW MIRACLE CT, LAKE CITY, FL, 32024 |
| QWWER QWE | Vice President | 337 NW FAIRWAY DRIVE, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| QWER QWE | QWE | 169 SW TIMBERLAND CT, LAKE CITY, FL, 32024 |
| QWWE QWER | QWE | 169 SW TIMBERLAND CT, LAKE CITY, FL, 32024 |
| Name | Role | Address |
|---|---|---|
| 123 123 M | 123 | 169 SW TIMBERLAND CT, LAKE CITY, FL, 32024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-05 | 1037 US HWY 90 WEST, SUITE# 130, LAKE CITY, FL 32055 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-05 | 337 NW FAIRWAY DRIVE, LAKE CITY, FL 32055 | No data |
| CANCEL ADM DISS/REV | 2008-01-08 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-08 | 1037 US HWY 90 WEST, SUITE# 130, LAKE CITY, FL 32055 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-20 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-03-25 |
| ANNUAL REPORT | 2009-01-25 |
| REINSTATEMENT | 2008-01-08 |
| ANNUAL REPORT | 2006-04-25 |
| ANNUAL REPORT | 2005-02-08 |
| ANNUAL REPORT | 2004-01-05 |
| ANNUAL REPORT | 2003-02-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
