| Entity Name: | SANTA ROSA WELLNESS SPA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Jan 2004 (21 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P04000010560 |
| FEI/EIN Number | 920180136 |
| Address: | 9007 UNIVERSITY PKWY, PENSACOLA, FL, 32514 |
| Mail Address: | 9007 UNIVERSITY PKWY, PENSACOLA, FL, 32514 |
| ZIP code: | 32514 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437340585 | 2007-08-05 | 2008-10-17 | 12671 US HIGHWAY 98 W, SUITE 211, MIRAMAR BEACH, FL, 325508300, US | 12671 US HIGHWAY 98 W, SUITE 211, MIRAMAR BEACH, FL, 325508300, US | |||||||||||||||||||
|
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| Phone | +1 850-654-6505 |
| Fax | 8506546505 |
Authorized person
| Name | DANA A BERTHIAUME |
| Role | REGIONAL DIRECTOR |
| Phone | 8506546505 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 8469 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOFFMAN MATTHEW C | Agent | 226 PALAFOX PLACE, NINTH FLOOR, PENSACOLA, FL, 32502 |
| Name | Role | Address |
|---|---|---|
| BERTHIAUME DANA | President | 9007 UNIVERSITY PKWY, PENSACOLA, FL, 32514 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-05-02 | 9007 UNIVERSITY PKWY, PENSACOLA, FL 32514 | No data |
| CHANGE OF MAILING ADDRESS | 2005-05-02 | 9007 UNIVERSITY PKWY, PENSACOLA, FL 32514 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J08900022562 | LAPSED | 2008CA001444 | ESCAMBIA CTY CIR CRT | 2008-10-28 | 2013-12-05 | $59688.55 | AXIS CAPITAL, INC., 308 N LOCUST STREET, GRAND ISLAND, NE 68801 |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2010-04-27 |
| ANNUAL REPORT | 2007-04-02 |
| ANNUAL REPORT | 2006-08-18 |
| ANNUAL REPORT | 2005-05-02 |
| Reg. Agent Change | 2004-03-09 |
| Domestic Profit | 2004-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
