| Entity Name: | FLORIDA STATE HEARING AIDS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Nov 2004 (20 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | P04000154332 |
| FEI/EIN Number | 201878294 |
| Address: | 1808 W. INTL. SPDWY BLVD., SUITE# 305, DAYTONA BEACH, FL, 32114, US |
| Mail Address: | 1808 W. INTL. SPDWY BLVD., SUITE# 305, DAYTONA BEACH, FL, 32114, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275721508 | 2007-10-11 | 2007-10-23 | 1808 WEST INTERNATIONAL SPEEDWAY BLVD, SUITE 305, DAYTONA BEACH, FL, 321141227, US | 1808 WEST INTERNATIONAL SPEEDWAY BLVD, SUITE 305, DAYTONA BEACH, FL, 321141227, US | |||||||||||||||||||||||||
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| Phone | +1 386-226-0007 |
| Fax | 3862263037 |
Authorized person
| Name | MS. JULIE PRUITT |
| Role | OWNER |
| Phone | 3862260007 |
Taxonomy
| Taxonomy Code | 237700000X - Hearing Instrument Specialist |
| License Number | AS2626 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | J8134 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PRUITT JULIE A | Agent | 969 CASCADES PARK TR., DELAND, FL, 32720 |
| Name | Role | Address |
|---|---|---|
| PRUITT JULIE A | President | 969 CASCADES PARK TR., DELAND, FL, 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2012-03-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-12 | 1808 W. INTL. SPDWY BLVD., SUITE# 305, DAYTONA BEACH, FL 32114 | No data |
| CHANGE OF MAILING ADDRESS | 2012-03-12 | 1808 W. INTL. SPDWY BLVD., SUITE# 305, DAYTONA BEACH, FL 32114 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-12 | 969 CASCADES PARK TR., DELAND, FL 32720 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-02-23 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-01-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3059267403 | 2020-05-06 | 0491 | PPP | 1808 West International Speedway Boulevard # 305, Daytona Beach, FL, 32114 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
