| Entity Name: | RAWLINS MED-WAIVER PROVIDER AGENCY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 09 Aug 2006 (18 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P06000104055 |
| FEI/EIN Number | 20-4834480 |
| Mail Address: | PO BOX 421071, KISSIMMEE, FL 34742 |
| Address: | 4311 Bay Vista Drive, KISSIMMEE, FL 34746 |
| ZIP code: | 34746 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104080142 | 2008-07-17 | 2008-07-17 | 640 CECINA WAY APT A, KISSIMMEE, FL, 347413287, US | 640 CECINA WAY APT A, KISSIMMEE, FL, 347413287, US | |||||||||||||||||
|
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| Phone | +1 352-871-4613 |
Authorized person
| Name | DUANE A RAWLINS |
| Role | DIRECTOR |
| Phone | 3528714613 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 690683496 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAWLINS, DUANE A | Agent | 4311 Bay Vista Drive, KISSIMMEE, FL 34746 |
| Name | Role | Address |
|---|---|---|
| RAWLINS, DUANE A | Chief Executive Officer | P.O. Box 421071, KISSIMMEE, FL 34742 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000007033 | RAWLINS MED-WAIVER PROVIDER AGENCY INC | EXPIRED | 2012-01-19 | 2017-12-31 | No data | PO BOX 422083, KISSIMMEE, KISSIMMEE, FL, 34741 |
| G10000023311 | RAWLINS HOME HEALTH CARE AGENCY | EXPIRED | 2010-03-12 | 2015-12-31 | No data | PO BOX 422083, KISSIMMEE, FL, 34742 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-18 | 4311 Bay Vista Drive, KISSIMMEE, FL 34746 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-15 | 4311 Bay Vista Drive, KISSIMMEE, FL 34746 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-11 | 4311 Bay Vista Drive, KISSIMMEE, FL 34746 | No data |
| REINSTATEMENT | 2013-09-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CANCEL ADM DISS/REV | 2007-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-20 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-02-20 |
| ANNUAL REPORT | 2014-01-17 |
| ANNUAL REPORT | 2011-05-02 |
| ANNUAL REPORT | 2010-02-25 |
| ANNUAL REPORT | 2009-03-28 |
| ANNUAL REPORT | 2008-07-25 |
| REINSTATEMENT | 2007-10-02 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
