| Entity Name: | ALPHA AUDIOLOGY HEARING HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Jan 2003 (22 years ago) |
| Date of dissolution: | 23 Sep 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Sep 2020 (4 years ago) |
| Document Number: | P03000004886 |
| FEI/EIN Number | 481294665 |
| Address: | ALPHA AUDIOLOGY, 203-C North Highway 79, PANAMA CITY BEACH, FL, 32413, US |
| Mail Address: | ALPHA AUDIOLOGY, 203-C North Highway 79, PANAMA CITY BEACH, FL, 32413, US |
| ZIP code: | 32413 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679599286 | 2006-07-15 | 2015-05-12 | 203C N HIGHWAY 79, PANAMA CITY BEACH, FL, 324132225, US | 203C N HIGHWAY 79, PANAMA CITY BEACH, FL, 324132225, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-588-5460 |
| Fax | 8505885369 |
Authorized person
| Name | DR. ANNE MARIE TAYLOR |
| Role | DOCTOR OF AUDIOLOGY |
| Phone | 8505885460 |
Taxonomy
| Taxonomy Code | 231H00000X - Audiologist |
| License Number | AY1123 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 231HA2400X - Assistive Technology Practitioner Audiologist |
| License Number | AY1123 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 231HA2500X - Assistive Technology Supplier Audiologist |
| License Number | AY1123 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 600353200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TAYLOR ANNE MARIE | Agent | 203-C North Highway 79, PANAMA CITY BEACH, FL, 32413 |
| Name | Role | Address |
|---|---|---|
| TAYLOR ANNE MARIE Dr. | President | 203-C North Highway 79, PANAMA CITY BEACH, FL, 32413 |
| Name | Role | Address |
|---|---|---|
| TAYLOR TREBOR (T-BOB)H | Vice President | 203-C North Highway 79, PANAMA CITY BEACH, FL, 32413 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000015939 | ALPHA AUDIOLOGY HEARING AIDS | EXPIRED | 2018-01-12 | 2023-12-31 | No data | 203-C NORTH HIGHWAY 79, PANAMA CITY BEACH, FL, 32413 |
| G18000015940 | ALPHA AUDIOLOGY, INC. | EXPIRED | 2018-01-12 | 2023-12-31 | No data | 203-C NORTH HIGHWAY 79, PANAMA CITY BEACH, FL, 32413 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-11 | 203-C North Highway 79, PANAMA CITY BEACH, FL 32413 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-26 | ALPHA AUDIOLOGY, 203-C North Highway 79, PANAMA CITY BEACH, FL 32413 | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-26 | ALPHA AUDIOLOGY, 203-C North Highway 79, PANAMA CITY BEACH, FL 32413 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-02-24 | TAYLOR, ANNE MARIE | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-09-23 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
