| Entity Name: | NLS FAMILY ENTERPRISE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Oct 2003 (21 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P03000121125 |
| FEI/EIN Number | 200353594 |
| Address: | 4372 SOUTHSIDE BLVD, 303, JACKSONVILLE, FL, 32216 |
| Mail Address: | 13913 SPOONBILL STREET NORTH, JACKSONVILLE, FL, 32224 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871651620 | 2006-12-05 | 2008-04-20 | 4372 SOUTHSIDE BLVD, SUITE 303, JACKSONVILLE, FL, 322168501, US | 4372 SOUTHSIDE BLVD, SUITE 303, JACKSONVILLE, FL, 322168501, US | |||||||||||||||||||||||||
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| Phone | +1 904-646-4640 |
| Fax | 9046464631 |
Authorized person
| Name | MR. NARENDRA SREERAM |
| Role | PRESIDENT |
| Phone | 9046464640 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | PED 94 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUESHIELD |
| Number | M2790 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SREERAM NARENDRA | Agent | 13913 SPOONBILL STREET NORTH, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| SREERAM NARENDRA | Director | 13913 SPOONBILL STREET NORTH, JACKSONVILLE, FL, 32224 |
| SREERAM LORETTA | Director | 13913 SPOONBILL STREET NORTH, JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-05-01 | 4372 SOUTHSIDE BLVD, 303, JACKSONVILLE, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-03-22 |
| ANNUAL REPORT | 2012-01-17 |
| ANNUAL REPORT | 2011-01-10 |
| ANNUAL REPORT | 2010-02-17 |
| ANNUAL REPORT | 2009-03-24 |
| ANNUAL REPORT | 2008-05-08 |
| ANNUAL REPORT | 2007-04-17 |
| ANNUAL REPORT | 2006-05-15 |
| ANNUAL REPORT | 2005-05-01 |
| ANNUAL REPORT | 2004-03-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
