| Entity Name: | FLORIDAY FIXATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Mar 2006 (19 years ago) |
| Date of dissolution: | 30 Dec 2024 (a month ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Dec 2024 (a month ago) |
| Document Number: | P06000035137 |
| FEI/EIN Number | 204481563 |
| Address: | 4367 PRESERVATION CIR, MELBOURNE, FL, 32934, US |
| Mail Address: | 4367 PRESERVATION CIR, MELBOURNE, FL, 32934, US |
| ZIP code: | 32934 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316092331 | 2007-01-23 | 2020-08-22 | 4740 SMITHFIELD, MELBOURNE, FL, 329347864, US | 4740 SMITHFIELD, MELBOURNE, FL, 329347864, US | |||||||||||||||||||||||||
|
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| Phone | +1 321-288-5605 |
| Fax | 3212428415 |
Authorized person
| Name | MR. GLEN CURTIS WOMBLE |
| Role | PRESIDENT |
| Phone | 3212885605 |
Taxonomy
| Taxonomy Code | 163WR0006X - Registered Nurse First Assistant |
| License Number | RN3180082 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Y100B |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WOMBLE GLEN C | Agent | 4367 PRESERVATION CIR, MELBOURNE, FL, 32934 |
| Name | Role | Address |
|---|---|---|
| WOMBLE GLEN C | President | 4367 PRESERVATION CIR, MELBOURNE, FL, 32934 |
| Name | Role | Address |
|---|---|---|
| WOMBLE KATHLEEN B | Vice President | 4367 PRESERVATION CIR, MELBOURNE, FL, 32934 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-12-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-13 | 4367 PRESERVATION CIR, MELBOURNE, FL 32934 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-13 | 4367 PRESERVATION CIR, MELBOURNE, FL 32934 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-13 | 4367 PRESERVATION CIR, MELBOURNE, FL 32934 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-12-30 |
| ANNUAL REPORT | 2024-01-06 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-01-05 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-01-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
