| Entity Name: | SPAULDING MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 10 May 2007 (18 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P07000056575 |
| FEI/EIN Number | 26-0165748 |
| Address: | 16901 SW 76 AVE, PALMETTO BAY, FL 33157 |
| Mail Address: | 16901 SW 76 AVE, PALMETTO BAY, FL 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144539693 | 2010-10-01 | 2010-10-01 | 16901 SW 76TH AVE, PALMETTO BAY, FL, 331574802, US | 16901 SW 76TH AVE, PALMETTO BAY, FL, 331574802, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 305-790-3108 |
Authorized person
| Name | JODI SPAULDING |
| Role | PRESIDENT |
| Phone | 3057903108 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP2810642 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ARNP LICENSE |
| Number | ARNP2810642 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SPAULDING, JODI | Agent | 16901 SW 76 AVE, PALMETTO BAY, FL 33157 |
| Name | Role | Address |
|---|---|---|
| SPAULDING, JODI | President | 16901 SW 76 AVE, PALMETTO BAY, FL 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-13 | 16901 SW 76 AVE, PALMETTO BAY, FL 33157 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-13 | 16901 SW 76 AVE, PALMETTO BAY, FL 33157 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-13 | 16901 SW 76 AVE, PALMETTO BAY, FL 33157 | No data |
| CANCEL ADM DISS/REV | 2008-11-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-01-21 |
| ANNUAL REPORT | 2016-02-23 |
| ANNUAL REPORT | 2015-02-21 |
| ANNUAL REPORT | 2014-02-16 |
| ANNUAL REPORT | 2013-05-03 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
