| Entity Name: | NORTH FLORIDA PHYSICAL MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Oct 2006 (18 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P06000137143 |
| FEI/EIN Number | 611512672 |
| Address: | 9826 SAN JOSE BOULEVARD, JACKSONVILLE, FL, 32257 |
| Mail Address: | 9826 SAN JOSE BOULEVARD, JACKSONVILLE, FL, 32257 |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518101369 | 2009-04-23 | 2009-04-23 | 2020 KINGSLEY AVE SUITE D, ORANGE PARK, FL, 320738705, US | 2020 KINGSLEY AVE STE D, ORANGE PARK, FL, 320735139, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 904-458-1308 |
| Fax | 9044581313 |
Authorized person
| Name | GORDON GARVER |
| Role | PD |
| Phone | 9042629444 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COHEN LANCE P | Agent | 1723 BLANDING BLVD, JACKSONVILLE, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| GARVER GORDON D | President | 9826 SAN JOSE BOULEVARD, JACKSONVILLE, FL, 32257 |
| Name | Role | Address |
|---|---|---|
| GARVER GORDON D | Director | 9826 SAN JOSE BOULEVARD, JACKSONVILLE, FL, 32257 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09104900187 | RICHARD E. WOOD, M.D. | EXPIRED | 2009-04-14 | 2014-12-31 | No data | 2020 KINGSLEY AVENUE, SUITE D, ORANGE PARK, FL, 32073 |
| G09089900560 | PMC | EXPIRED | 2009-03-30 | 2014-12-31 | No data | 9826 SAN JOSE BLVD., JACKSONVILLE, FL, 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-26 | 9826 SAN JOSE BOULEVARD, JACKSONVILLE, FL 32257 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-26 | 9826 SAN JOSE BOULEVARD, JACKSONVILLE, FL 32257 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001649871 | TERMINATED | 1000000546721 | CLAY | 2013-10-16 | 2023-11-07 | $ 796.16 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-03-26 |
| ANNUAL REPORT | 2008-01-14 |
| ANNUAL REPORT | 2007-04-20 |
| Domestic Profit | 2006-10-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
