| Entity Name: | BARTRAM PARK FAMILY ENT, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Oct 2006 (18 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P06000126943 |
| FEI/EIN Number | 300384860 |
| Address: | 13241 BARTRAM PARK BOULEVARD, SUITE 801, JACKSONVILLE, FL, 32258 |
| Mail Address: | 12387 MANDARIN RD., JACKSONVILLE, FL, 32223 |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306915277 | 2006-11-07 | 2015-12-09 | 13241 BARTRAM PARK BLVD, SUITE 801, JACKSONVILLE, FL, 322585212, US | 13241 BARTRAM PARK BLVD, SUITE 801, JACKSONVILLE, FL, 322585212, US | |||||||||||||||||||||
|
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| Phone | +1 904-446-9191 |
| Fax | 9044469189 |
Authorized person
| Name | JEFFREY M SANDLER |
| Role | OWNER |
| Phone | 9044469191 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE GROUP |
| Number | AE231 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANDLER JEFFREY | Agent | 12387 MANDARIN RD., JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| SANDLER Jeffrey MDr. | President | 12387 MANDARIN RD., JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| SANDLER Jeffrey MDr. | Secretary | 12387 MANDARIN RD., JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| SANDLER Jeffrey MDr. | Treasurer | 12387 MANDARIN RD., JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| SANDLER Jeffrey MDr. | Director | 12387 MANDARIN RD., JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-26 | 13241 BARTRAM PARK BOULEVARD, SUITE 801, JACKSONVILLE, FL 32258 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-21 |
| ANNUAL REPORT | 2015-03-27 |
| ANNUAL REPORT | 2014-03-14 |
| ANNUAL REPORT | 2013-02-08 |
| ANNUAL REPORT | 2012-01-18 |
| ANNUAL REPORT | 2011-01-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
