| Entity Name: | JC AUDIOLOGY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Sep 2005 (19 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P05000122671 |
| FEI/EIN Number | 68-0612829 |
| Address: | 1519 DALE MABRY HWY., SUITE 105, LUTZ, FL 33548 |
| Mail Address: | 1519 DALE MABRY HWY., SUITE 105, LUTZ, FL 33548 |
| ZIP code: | 33548 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720299233 | 2007-05-25 | 2009-07-16 | 1541 DALE MABRY HWY, SUITE 201, LUTZ, FL, 335483017, US | 1541 DALE MABRY HWY, SUITE 201, LUTZ, FL, 335483017, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 813-949-1331 |
| Fax | 8139496132 |
Authorized person
| Name | MR. CHARLES R REESE |
| Role | PRESIDENT |
| Phone | 8139491331 |
Taxonomy
| Taxonomy Code | 237600000X - Audiologist-Hearing Aid Fitter |
| License Number | AY902 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | S9144 |
| State | FL |
| Issuer | MEDICAID |
| Number | 600472500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REESE, CHARLES R | Agent | 19907 READING ROAD, LUTZ, FL 33558 |
| Name | Role | Address |
|---|---|---|
| REESE, CHARLES R | President | 19907 READING ROAD, LUTZ, FL 33558 |
| Name | Role | Address |
|---|---|---|
| REESE, JUDITH L | Vice President | 19907 READING ROAD, LUTZ, FL 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-15 | 1519 DALE MABRY HWY., SUITE 105, LUTZ, FL 33548 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-15 | 1519 DALE MABRY HWY., SUITE 105, LUTZ, FL 33548 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-10 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
