Entity Name: | BIRKMIRE BEHAVIORAL HEALTHCARE JACKSONVILLE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 27 Feb 2008 (17 years ago) |
Date of dissolution: | 23 Sep 2011 (13 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2011 (13 years ago) |
Document Number: | P08000021476 |
FEI/EIN Number | 262107631 |
Address: | 10175 FORTUNE PARKWAY, 202, JACKSONVILLE, FL, 32256 |
Mail Address: | 650 S. CENTRAL AVE., 4000, OVIEDO, FL, 32756 |
ZIP code: | 32256 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1609047018 | 2008-03-13 | 2008-03-13 | 1601 DODD RD, WINTER PARK, FL, 327929357, US | 11633 PHILIPS HWY, JACKSONVILLE, FL, 322561641, US | |||||||||||||||||||||||
|
Phone | +1 407-332-6506 |
Fax | 4078304073 |
Phone | +1 904-262-0303 |
Fax | 9042620909 |
Authorized person
Name | DR. REX A BIRKMIRE |
Role | PRESIDENT |
Phone | 9042620303 |
Taxonomy
Taxonomy Code | 1041C0700X - Clinical Social Worker |
License Number | ME75680 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BIRKMIRE REX A | Agent | 1601 DODD ROAD, WINTER PARK, FL, 32792 |
Name | Role | Address |
---|---|---|
BIRKMIRE REX A | President | 1601 DODD ROAD, WINTER PARK, FL, 32792 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2010-12-28 | 10175 FORTUNE PARKWAY, 202, JACKSONVILLE, FL 32256 | No data |
CHANGE OF MAILING ADDRESS | 2010-12-28 | 10175 FORTUNE PARKWAY, 202, JACKSONVILLE, FL 32256 | No data |
Name | Date |
---|---|
ADDRESS CHANGE | 2010-12-28 |
ANNUAL REPORT | 2010-06-18 |
ANNUAL REPORT | 2009-04-28 |
Domestic Profit | 2008-02-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State