| Entity Name: | ROY A HORN DC PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Jan 2005 (20 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P05000002893 |
| FEI/EIN Number | 202289210 |
| Address: | 9030 W FORT ISLAND TRL, STE 10-A, CRYSTAL RIVER, FL, 34429, US |
| Mail Address: | 9030 W FORT ISLAND TRL, STE 10-A, CRYSTAL RIVER, FL, 34429, US |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104989607 | 2006-12-18 | 2020-08-22 | 9030 W FORT ISLAND TRAIL, SUITE 10A, CRYSTAL RIVER, FL, 34429, US | 9030 W FORT ISLAND TRAIL, SUITE 10A, CRYSTAL RIVER, FL, 34429, US | |||||||||||||||||||||
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| Phone | +1 352-563-2597 |
| Fax | 3525632836 |
Authorized person
| Name | DR. ROY A HORN |
| Role | PRESIDENT |
| Phone | 3525632597 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 53997 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HORN LAURA | Agent | 9030 W FORT ISLAND TRL, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| HORN ROY A | Director | 9030 W. FORT ISLAND TRAIL #10A, CRYSTAL RIVER, FL, 34429 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000020546 | ADVANCED HEALTH | EXPIRED | 2015-02-25 | 2020-12-31 | No data | 9030 W. FORT ISLAND TRAIL #10A, CRYSTAL RIVER, FL, 34429 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-06 | 9030 W FORT ISLAND TRL, STE 10-A, CRYSTAL RIVER, FL 34429 | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-06 | 9030 W FORT ISLAND TRL, STE 10-A, CRYSTAL RIVER, FL 34429 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-04-06 | HORN, LAURA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-06 | 9030 W FORT ISLAND TRL, STE 10-A, CRYSTAL RIVER, FL 34429 | No data |
| NAME CHANGE AMENDMENT | 2005-03-22 | ROY A HORN DC PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-04-17 |
| ANNUAL REPORT | 2012-04-02 |
| ANNUAL REPORT | 2011-04-21 |
| ANNUAL REPORT | 2010-04-15 |
| ANNUAL REPORT | 2009-04-21 |
| ANNUAL REPORT | 2008-04-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
