NES OF NORTHERN FLORIDA, INC.

Company Details

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1558583161

2007-05-03

2007-10-17

PO BOX 552351, TAMPA, FL, 336550001, US

6500 W NEWBERRY RD, GAINESVILLE, FL, 326054309, US

Contacts

Phone

+1 352-333-4900

Authorized person

Taxonomy

Taxonomy Code	207P00000X - Emergency Medicine Physician
Is Primary	Yes

Name	Role	Address
CT CORPORATION SYSTEM	Agent	1200 S. PINE ISLAND ROAD, PLANTATION, FL, 33324

Name	Role	Address
ZGURIS THOMAS	President	39 MAIN STREET, TIBURON, CA, 94920

Name	Role	Address
HEDEN ERIC C	Secretary	39 MAIN STREET, TIBURON, CA, 94920

Name	Role	Address
MOORE JENNIFER	Director	39 MAIN STREET, TIBURON, CA, 94920
ZGURIS THOMAS	Director	39 MAIN STREET, TIBURON, CA, 94920

Name	Role	Address
MOATTAR DAVID	Asst	39 MAIN STREET, TIBURON, CA, 94920

Event Type	Filed Date	Value	Description
VOLUNTARY DISSOLUTION	2015-12-14	No data	No data
CHANGE OF PRINCIPAL ADDRESS	2012-04-25	39 MAIN STREET, TIBURON, CA 94920	No data
CHANGE OF MAILING ADDRESS	2012-04-25	39 MAIN STREET, TIBURON, CA 94920	No data

Date of last update: 01 Feb 2025