| Entity Name: | HARRY BORCHERDING ARNP, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 May 2008 (17 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P08000052566 |
| FEI/EIN Number | 262688435 |
| Address: | 4217 BAYMEADOWS RD., STE 3, JACKSONVILLE, FL, 32217, US |
| Mail Address: | 400 E BAY STREET, #1902, JACKSONVILLE, FL, 32202, US |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659539641 | 2008-05-28 | 2008-10-07 | 1401 RIVERPLACE BLVD, #910, JACKSONVILLE, FL, 322079069, US | 1401 RIVERPLACE BLVD, #910, JACKSONVILLE, FL, 322079069, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 352-514-2595 |
Authorized person
| Name | MR. HARRY BORCHERDING |
| Role | PRESIDENT |
| Phone | 3525142595 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | ARNP 9235683 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BORCHERDING HARRY R | Agent | 400 E BAY STREET, JACKSONVILLE, FL, 32202 |
| Name | Role | Address |
|---|---|---|
| BORCHERDING HARRY R | President | 400 E BAY STREET #1902, JACKSONVILLE, FL, 32202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-07-30 | 4217 BAYMEADOWS RD., STE 3, JACKSONVILLE, FL 32217 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-19 | 4217 BAYMEADOWS RD., STE 3, JACKSONVILLE, FL 32217 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-19 | 400 E BAY STREET, #1902, JACKSONVILLE, FL 32202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-19 |
| ADDRESS CHANGE | 2010-07-30 |
| ANNUAL REPORT | 2010-02-17 |
| ANNUAL REPORT | 2009-04-19 |
| Domestic Profit | 2008-05-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
