Entity Name: | HOSPITALISTS OF NORTHEAST FLORIDA, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 28 Oct 2003 (21 years ago) |
Date of dissolution: | 10 Jan 2013 (12 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 10 Jan 2013 (12 years ago) |
Document Number: | P03000121074 |
FEI/EIN Number | 043778570 |
Address: | 820 PRUDENTIAL DR., STE. 713, JACKSONVILLE, FL, 32207 |
Mail Address: | 820 PRUDENTIAL DR., STE. 713, JACKSONVILLE, FL, 32207 |
ZIP code: | 32207 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003832288 | 2006-07-14 | 2008-03-11 | 820 PRUDENTIAL DR STE 713, JACKSONVILLE, FL, 322078209, US | 1250 S 18TH ST, HOSPITALISTS OF NORTHEAST FLORIDA INC, FERNANDINA BEACH, FL, 320341902, US | |||||||||||||||||||||
|
Phone | +1 904-396-5682 |
Fax | 9043460864 |
Authorized person
Name | DR. RICHARD M STROMBERG |
Role | PRESIDENT |
Phone | 9043965682 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS |
Number | 74515 |
State | FL |
Name | Role |
---|---|
SMITH HULSEY & BUSEY, LLC | Agent |
Name | Role | Address |
---|---|---|
STROMBERG RICHARD M | President | 820 PRUDENTIAL DRIVE, #713, JACKSONVILLE, FL, 32207 |
Name | Role | Address |
---|---|---|
STROMBERG RICHARD M | Director | 820 PRUDENTIAL DRIVE, #713, JACKSONVILLE, FL, 32207 |
MURRAY DAVID M | Director | 820 PRUDENTIAL DRIVE, #713, JACKSONVILLE, FL, 32207 |
Name | Role | Address |
---|---|---|
MURRAY DAVID M | Secretary | 820 PRUDENTIAL DRIVE, #713, JACKSONVILLE, FL, 32207 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2013-01-10 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2005-03-18 | 820 PRUDENTIAL DR., STE. 713, JACKSONVILLE, FL 32207 | No data |
CHANGE OF MAILING ADDRESS | 2005-03-18 | 820 PRUDENTIAL DR., STE. 713, JACKSONVILLE, FL 32207 | No data |
Name | Date |
---|---|
Voluntary Dissolution | 2013-01-10 |
ANNUAL REPORT | 2012-01-06 |
ANNUAL REPORT | 2011-02-14 |
ANNUAL REPORT | 2010-01-05 |
ANNUAL REPORT | 2009-04-06 |
ANNUAL REPORT | 2008-04-10 |
ANNUAL REPORT | 2007-04-23 |
ANNUAL REPORT | 2006-04-26 |
ANNUAL REPORT | 2005-03-18 |
ANNUAL REPORT | 2004-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State