| Entity Name: | ROBERTA REXROTH, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Jul 2008 (17 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 Sep 2023 (a year ago) |
| Document Number: | P08000071980 |
| FEI/EIN Number | 263099703 |
| Address: | 9256 BIRMINGHAM AVE, BROOKSVILLE, FL, 34613, US |
| Mail Address: | PO Box 5495, Spring Hill, FL, 34611, US |
| ZIP code: | 34613 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104203892 | 2015-05-01 | 2015-05-01 | 9256 BIRMINGHAM AVE, WEEKI WACHEE, FL, 346134424, US | 9256 BIRMINGHAM AVE, WEEKI WACHEE, FL, 346134424, US | |||||||||||||||||
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| Phone | +1 352-293-2833 |
| Fax | 3522932834 |
Authorized person
| Name | ROBERTA REXROTH |
| Role | PRESIDENT |
| Phone | 3522932833 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REXROTH ROBERTA | Agent | 9256 BIRMINGHAM AVE, BROOKSVILLE, FL, 34613 |
| Name | Role | Address |
|---|---|---|
| REXROTH ROBERTA | President | 9256 BIRMINGHAM AVE, BROOKSVILLE, FL, 34613 |
| Name | Role | Address |
|---|---|---|
| REXROTH ROBERTA | Secretary | 9256 BIRMINGHAM AVE, BROOKSVILLE, FL, 34613 |
| Name | Role | Address |
|---|---|---|
| REXROTH ROBERTA | Treasurer | 9256 BIRMINGHAM AVE, BROOKSVILLE, FL, 34613 |
| Name | Role | Address |
|---|---|---|
| REXROTH BLAIR | Vice President | 9256 BIRMINGHAM AVE, BROOKSVILLE, FL, 34613 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000044421 | COMMUNITY MEDICAL | EXPIRED | 2015-05-04 | 2020-12-31 | No data | 9256 BIRMINGHAM AVE, WEEKI WACHEE, FL, 34613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-17 | 9256 BIRMINGHAM AVE, BROOKSVILLE, FL 34613 | No data |
| AMENDMENT | 2023-09-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-17 |
| Amendment | 2023-09-18 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-04-09 |
| ANNUAL REPORT | 2019-03-05 |
| ANNUAL REPORT | 2018-04-14 |
| ANNUAL REPORT | 2017-03-26 |
| ANNUAL REPORT | 2016-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
