| Entity Name: | PATRICIA A. HARRISON INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 May 2004 (21 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 21 Oct 2009 (15 years ago) |
| Document Number: | P04000075844 |
| FEI/EIN Number | 202440485 |
| Mail Address: | 2594 SPREADING OAKS LANE, JACKSONVILLE, FL, 32223 |
| Address: | 6015 CHESTER CIRCLE, 205, JACKSONVILLE, FL, 32217 |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437300456 | 2008-10-08 | 2008-10-08 | 2594 SPREADING OAKS LN, JACKSONVILLE, FL, 322236501, US | 3733 UNIVERSITY BLVD W, SUITE 208, JACKSONVILLE, FL, 322172109, US | |||||||||||||||||||||||||
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| Phone | +1 904-386-4990 |
| Fax | 9042600435 |
Authorized person
| Name | MRS. PATRICIA ANN HARRISON |
| Role | PRESIDENT |
| Phone | 9043864990 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA1362 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 88885911600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HARRISON PATRICIA A | Agent | 2594 SPREADING OAKS LANE, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| HARRISON PATRICIA A | President | 2594 SPREADING OAKS LANE, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| Harrison Robert S | Vice President | 2594 Spreading Oaks Lane, Jacksonville, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| HARRISON TRUST THE | Owner | 2594 SPREADING OAKS LANE, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-06 | 6015 CHESTER CIRCLE, 205, JACKSONVILLE, FL 32217 | No data |
| CANCEL ADM DISS/REV | 2009-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-26 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-01-05 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
