| Entity Name: | QUINTESSENTIAL HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Apr 2004 (21 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P04000064405 |
| FEI/EIN Number | 201140370 |
| Address: | 1122 S E KINGS BAY DRIVE, CRYSTAL RIVER, FL, 34429 |
| Mail Address: | 1122 S E KINGS BAY DRIVE, CRYSTAL RIVER, FL, 34429 |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184643223 | 2006-07-19 | 2020-08-22 | 6152 W CORPORATE OAKS DR, CRYSTAL RIVER, FL, 344298722, US | 6152 W CORPORATE OAKS DR, CRYSTAL RIVER, FL, 344298722, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 352-794-5086 |
Authorized person
| Name | DAWN GOODPASTER |
| Role | PRESIDENT |
| Phone | 3527945086 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOODPASTER DAWN M | Agent | 1132 S E KINGS BAY DRIVE, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| GOODPASTER DAWN M | President | 1132 S E KINGS BAY DRIVE, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| GOODPASTER DAWN M | Secretary | 1132 S E KINGS BAY DRIVE, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| GOODPASTER DAWN M | Treasurer | 1132 S E KINGS BAY DRIVE, CRYSTAL RIVER, FL, 34429 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000028339 | CRYSTAL FAMILY PRACTICE | EXPIRED | 2012-03-22 | 2017-12-31 | No data | 1122 S E KINGS BAY DR, CRYSTAL RIVER, FL, 34429 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-05 | 1122 S E KINGS BAY DRIVE, CRYSTAL RIVER, FL 34429 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-05 | 1122 S E KINGS BAY DRIVE, CRYSTAL RIVER, FL 34429 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-07 | 1132 S E KINGS BAY DRIVE, CRYSTAL RIVER, FL 34429 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-05 |
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-21 |
| ANNUAL REPORT | 2008-04-24 |
| ANNUAL REPORT | 2007-03-26 |
| ANNUAL REPORT | 2006-04-07 |
| ANNUAL REPORT | 2005-01-20 |
| Domestic Profit | 2004-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
