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BIRKMIRE BEHAVIORAL HEALTHCARE JACKSONVILLE, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BIRKMIRE REX A Agent 1601 DODD ROAD, WINTER PARK, FL, 32792

President

Name Role Address
BIRKMIRE REX A President 1601 DODD ROAD, WINTER PARK, FL, 32792

Events

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

Documents

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