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MAUREEN M. RICHARDS, ARNP, P.A.

Company Details

Entity Name: MAUREEN M. RICHARDS, ARNP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 May 2005 (20 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P05000066819
FEI/EIN Number 562516865
Address: 118 TRUXTON AVE, FT WALTON BEACH, FL, 32547
Mail Address: 821 OVERBROOK DR, FT WALTON BEACH, FL, 32547
ZIP code: 32547
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811158447 2008-06-17 2014-08-11 118 TRUXTON AVE, FORT WALTON BEACH, FL, 32547, US 118 TRUXTON AVE, FORT WALTON BEACH, FL, 32547, US

Contacts

Phone +1 850-664-7690

Authorized person

Name MRS. MAUREEN MCCAIN RICHARDS
Role ARNP
Phone 8502404663

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
License Number ARNP 1325442
State FL
Is Primary Yes

Agent

Name Role Address
RICHARDS MAUREEN Agent 821 OVERBROOK DR, FT WALTON BEACH, FL, 32547

President

Name Role Address
RICHARDS MAUREEN President 821 OVERBROOK DR, FT WALTON BEACH, FL, 32547

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2010-01-07 118 TRUXTON AVE, FT WALTON BEACH, FL 32547 No data
AMENDMENT AND NAME CHANGE 2008-04-24 MAUREEN M. RICHARDS, ARNP, P.A. No data

Documents

Name Date
ANNUAL REPORT 2014-01-14
ANNUAL REPORT 2013-01-25
ANNUAL REPORT 2012-01-05
ANNUAL REPORT 2011-01-05
ANNUAL REPORT 2010-01-07
ANNUAL REPORT 2009-02-14
Amendment and Name Change 2008-04-24
ANNUAL REPORT 2008-02-25
ANNUAL REPORT 2007-04-16
ANNUAL REPORT 2006-03-21

Date of last update: 03 Feb 2025

Sources: Florida Department of State