| Entity Name: | RONALD E. BOBUS, ACSW,LMFT & ASSOCIATES, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Mar 2004 (21 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P04000047843 |
| FEI/EIN Number | 200780232 |
| Address: | 3082 S 3RD ST, JACKSONVILLE BEACH, FL, 32250 |
| Mail Address: | P O BOX 1421, PONTE VEDRA, FL, 32004 |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649437567 | 2008-05-19 | 2008-05-19 | PO BOX 1421, PONTE VEDRA, FL, 320041421, US | 3082 3RD ST S, JACKSONVILLE BEACH, FL, 322506033, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-246-2629 |
| Fax | 9042461510 |
Authorized person
| Name | RONALD E BOBUS |
| Role | PVST |
| Phone | 9042462629 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | MT1194 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 7471671 |
| State | FL |
| Issuer | HUMANA |
| Number | 136144193193 |
| State | FL |
| Issuer | CAQH |
| Number | 10745333 |
| State | FL |
| Issuer | MAGELLAN |
| Number | 734016000 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Z2457 |
| State | FL |
| Issuer | VALUE OPTIONS |
| Number | A059051 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOBUS, RONALD E., ACSW,LMFT | Agent | 3082 S 3RD ST, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| BOBUS, RONALD E., ACSW,LMFT | President | 3082 S 3RD ST, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| BOBUS, RONALD E., ACSW,LMFT | Vice President | 3082 S 3RD ST, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| BOBUS, RONALD E., ACSW,LMFT | Secretary | 3082 S 3RD ST, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| BOBUS, RONALD E., ACSW,LMFT | Treasurer | 3082 S 3RD ST, JACKSONVILLE BEACH, FL, 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-27 | 3082 S 3RD ST, JACKSONVILLE BEACH, FL 32250 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-11 |
| ANNUAL REPORT | 2010-01-27 |
| ANNUAL REPORT | 2009-02-24 |
| ANNUAL REPORT | 2008-04-11 |
| ANNUAL REPORT | 2007-03-07 |
| ANNUAL REPORT | 2006-04-05 |
| ANNUAL REPORT | 2005-04-04 |
| Domestic Profit | 2004-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
