| Entity Name: | J M TENER, NP, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Jun 2010 (15 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P10000049015 |
| FEI/EIN Number | 272835573 |
| Address: | 5989 CR 209 South, Green Cove Springs, FL, 32043, US |
| Mail Address: | 5989 CR 209 South, Green Cove Springs, FL, 32043, US |
| ZIP code: | 32043 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427341478 | 2011-05-24 | 2011-09-15 | 2 20TH AVE S, JACKSONVILLE BEACH, FL, 322506255, US | 4217 BAYMEADOWS RD, SUITE 3, JACKSONVILLE, FL, 322174676, US | |||||||||||||||||||||||
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| Phone | +1 904-200-2244 |
| Fax | 9043720977 |
| Phone | +1 904-332-7431 |
| Fax | 9043327408 |
Authorized person
| Name | MRS. JENEA MARY TENER |
| Role | PRESIDENT |
| Phone | 9042002244 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP9223838 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TENER JENEA | Agent | 5989 CR 209 South, Green Cove Springs, FL, 32043 |
| Name | Role | Address |
|---|---|---|
| TENER JENEA | Secretary | 5989 CR 209 South, Green Cove Springs, FL, 32043 |
| Name | Role | Address |
|---|---|---|
| TENER JENEA | Treasurer | 5989 CR 209 South, Green Cove Springs, FL, 32043 |
| Name | Role | Address |
|---|---|---|
| TENER JENEA | Director | 5989 CR 209 South, Green Cove Springs, FL, 32043 |
| Name | Role | Address |
|---|---|---|
| TENER JENEA | President | 5989 CR 209 South, Green Cove Springs, FL, 32043 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-28 | 5989 CR 209 South, Green Cove Springs, FL 32043 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-28 | 5989 CR 209 South, Green Cove Springs, FL 32043 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-28 | 5989 CR 209 South, Green Cove Springs, FL 32043 | No data |
| AMENDMENT AND NAME CHANGE | 2011-04-07 | J M TENER, NP, PA | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-07 | TENER, JENEA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-02-08 |
| ANNUAL REPORT | 2012-03-21 |
| ANNUAL REPORT | 2011-04-28 |
| Amendment and Name Change | 2011-04-07 |
| Domestic Profit | 2010-06-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
