| Entity Name: | HARBOR AUDIOLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Jul 2003 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Jul 2014 (11 years ago) |
| Document Number: | P03000072703 |
| FEI/EIN Number | 200066735 |
| Address: | 100 MADRID BLVD STE 214, PUNTA GORDA, FL, 33950, US |
| Mail Address: | 100 MADRID BLVD STE 214, PUNTA GORDA, FL, 33950, US |
| ZIP code: | 33950 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427263334 | 2007-05-14 | 2014-11-25 | 100 MADRID BLVD, SUITE 214, PUNTA GORDA, FL, 33950, US | 100 MADRID BLVD, SUITE 214, PUNTA GORDA, FL, 33950, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 941-505-0400 |
| Fax | 9415050022 |
Authorized person
| Name | DR. RICARDO GAUTHIER |
| Role | OWNER/AUDIOLOGIST |
| Phone | 9415050400 |
Taxonomy
| Taxonomy Code | 231H00000X - Audiologist |
| Is Primary | Yes |
| Taxonomy Code | 231HA2500X - Assistive Technology Supplier Audiologist |
| Is Primary | No |
| Taxonomy Code | 237600000X - Audiologist-Hearing Aid Fitter |
| Is Primary | No |
| Taxonomy Code | 332S00000X - Hearing Aid Equipment |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | J8079 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GAUTHIER RICARDO A | Agent | 100 MADRID BLVD, PUNTA GORDA, FL, 33950 |
| Name | Role | Address |
|---|---|---|
| GAUTHIER RICARDO ADr. | President | 100 MADRID BLVD, SUITE 214, PUNTA GORDA, FL, 33950 |
| Name | Role | Address |
|---|---|---|
| GAUTHIER ROSALYN R | Vice President | 158 EPPINGER DRIVE, PORT CHARLOTTE, FL, 33953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-13 | 100 MADRID BLVD STE 214, PUNTA GORDA, FL 33950 | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-13 | 100 MADRID BLVD STE 214, PUNTA GORDA, FL 33950 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-13 | 100 MADRID BLVD, SUITE 214, PUNTA GORDA, FL 33950 | No data |
| REINSTATEMENT | 2014-07-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REINSTATEMENT | 2012-07-26 | No data | No data |
| PENDING REINSTATEMENT | 2012-07-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-05-15 | GAUTHIER, RICARDO A | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-03-27 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-01-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
