| Entity Name: | TENTH AVENUE MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Jun 2002 (23 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P02000065717 |
| FEI/EIN Number | 450487207 |
| Address: | 4259 10TH AVENUE NORTH, LAKE WORTH, FL, 33461 |
| Mail Address: | 4259 10TH AVENUE NORTH, LAKE WORTH, FL, 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770738361 | 2008-11-24 | 2008-11-24 | 4259 10TH AVE N, LAKE WORTH, FL, 334612323, US | 4259 10TH AVE N, LAKE WORTH, FL, 334612323, US | |||||||||||||||||||
|
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| Phone | +1 561-642-7770 |
| Fax | 5616427776 |
Authorized person
| Name | DR. JEFFREY SCOTT SCHNEIDER |
| Role | PRESIDENT |
| Phone | 5616427770 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | CH 4362 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCHNEIDER JEFFREY S | Agent | 4259 10TH AVENUE NORTH, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| SCHNEIDER JEFFREY S | Director | 4259 10TH AVENUE NORTH, LAKE WORTH, FL, 33461 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000051519 | MERIDIAN PAIN MANAGEMENT | EXPIRED | 2011-06-01 | 2016-12-31 | No data | 4259 10TH AVE. N., LAKE WORTH, FL, 33461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-10-12 | 4259 10TH AVENUE NORTH, LAKE WORTH, FL 33461 | No data |
| AMENDMENT | 2007-10-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-10-12 | 4259 10TH AVENUE NORTH, LAKE WORTH, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2007-10-12 | 4259 10TH AVENUE NORTH, LAKE WORTH, FL 33461 | No data |
| NAME CHANGE AMENDMENT | 2007-07-16 | TENTH AVENUE MEDICAL, INC. | No data |
| CANCEL ADM DISS/REV | 2004-02-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-02-16 |
| ANNUAL REPORT | 2011-02-01 |
| ANNUAL REPORT | 2010-01-31 |
| ANNUAL REPORT | 2009-01-28 |
| ANNUAL REPORT | 2008-04-02 |
| Amendment | 2007-10-12 |
| Name Change | 2007-07-16 |
| ANNUAL REPORT | 2007-03-15 |
| ANNUAL REPORT | 2006-04-14 |
| ANNUAL REPORT | 2005-04-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
