| Entity Name: | ONE SOURCE MEDICAL BILLING SERVICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Dec 2001 (23 years ago) |
| Document Number: | P01000116527 |
| FEI/EIN Number | 800022524 |
| Address: | 11420 KANSAS ROAD, BROOKSVILLE, FL, 34603 |
| Mail Address: | P.O. BOX 12117, BROOKSVILLE, FL, 34603 |
| ZIP code: | 34603 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356344006 | 2005-05-24 | 2020-08-22 | PO BOX 12117, BROOKSVILLE, FL, 346032117, US | 11420 KANSAS RD, BROOKSVILLE, FL, 346143470, US | |||||||||||||||
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| Phone | +1 352-796-9310 |
| Fax | 3527966847 |
Authorized person
| Name | MRS. TARALYN MUNSELL |
| Role | PRESIDENT/MEDICAL BILLER |
| Phone | 3527969310 |
Taxonomy
| Taxonomy Code | 246YC3302X - Physician Office Based Coding Specialist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MUNSELL TARALYN | Agent | 11420 KANSAS ROAD, BROOKSVILLE, FL, 34603 |
| Name | Role | Address |
|---|---|---|
| MUNSELL TARALYN | President | 11420 KANSAS ROAD, BROOKSVILLE, FL, 34603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2006-05-22 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
