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