| Entity Name: | WHIDDON CONSTRUCTION CO.,INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Mar 2005 (20 years ago) |
| Document Number: | P05000037706 |
| FEI/EIN Number | 20-2549388 |
| Address: | 295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL 32055 |
| Mail Address: | 295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL 32055 |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891119707 | 2014-02-12 | 2014-02-12 | 295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL, 320557709, US | 295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL, 320557709, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-754-7367 |
| Fax | 3867547367 |
Authorized person
| Name | ROGER D WHIDDON |
| Role | PRESIDENT |
| Phone | 3867547367 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | CRC1328025 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001252600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WHIDDON, ROGER D | Agent | 295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL 32055 |
| Name | Role | Address |
|---|---|---|
| WHIDDON, ALICE | Vice President | 295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL 32055 |
| Name | Role | Address |
|---|---|---|
| WHIDDON, ROGER | President | 295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL 32055 |
| Name | Role | Address |
|---|---|---|
| WHIDDON, ROGER | Treasurer | 295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL 32055 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000019937 | WHIDDON ROOFING | ACTIVE | 2014-02-25 | 2029-12-31 | No data | 295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL, 32055 |
| G09000114747 | HOMESMARTONE | EXPIRED | 2009-06-08 | 2014-12-31 | No data | 582 NW BROOK LOOP, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-05-18 | 295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL 32055 | No data |
| CHANGE OF MAILING ADDRESS | 2011-05-18 | 295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL 32055 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-05-18 | 295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL 32055 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-02-11 | WHIDDON, ROGER D | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-01 |
Date of last update: 04 Jan 2025
Sources: Florida Department of State
