| Entity Name: | MEDICAL ASSOCIATES OF NORTH FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Mar 2009 (16 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P09000031895 |
| FEI/EIN Number | 264687456 |
| Address: | 3948 THIRD STREET SOUTH, #132, JACKSONVILLE BEACH, FL, 32250, US |
| Mail Address: | 3948 THIRD STREET SOUTH, #132, JACKSONVILLE BEACH, FL, 32250, US |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801021787 | 2009-05-21 | 2009-05-21 | 3948 3RD ST S, SUITE 1320, JACKSONVILLE BEACH, FL, 322505847, US | 3948 3RD ST S, SUITE 1320, JACKSONVILLE BEACH, FL, 322505847, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 904-328-2238 |
| Fax | 9042121719 |
Authorized person
| Name | DR. DOUGLAS MICHAEL KLEINER |
| Role | CEO |
| Phone | 9043282238 |
Taxonomy
| Taxonomy Code | 146N00000X - Basic Emergency Medical Technician |
| License Number | EMT 300287 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 163W00000X - Registered Nurse |
| License Number | RN 9182095 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME 80275 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 246Z00000X - Other Specialist/Technologist |
| License Number | AL 377 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KLEINER DOUGLAS M | Agent | 3948 THIRD STREET SOUTH, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| Kleiner Douglas M | Chief Executive Officer | 3948 THIRD STREET SOUTH, JACKSONVILLE BEACH, FL, 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-11 | 3948 THIRD STREET SOUTH, #132, JACKSONVILLE BEACH, FL 32250 | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-11 | 3948 THIRD STREET SOUTH, #132, JACKSONVILLE BEACH, FL 32250 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-11 | 3948 THIRD STREET SOUTH, #132, JACKSONVILLE BEACH, FL 32250 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-28 |
| ANNUAL REPORT | 2016-04-11 |
| ANNUAL REPORT | 2015-01-11 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-04-27 |
| ANNUAL REPORT | 2012-02-25 |
| ANNUAL REPORT | 2011-03-29 |
| ANNUAL REPORT | 2010-02-21 |
| Domestic Profit | 2009-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
