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JOSANA MEDICAL LABORATORY, INC. - Florida Company Profile

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Company Details

Entity Name: JOSANA MEDICAL LABORATORY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Oct 2012 (13 years ago)
Date of dissolution: 26 Sep 2014 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2014 (11 years ago)
Document Number: P12000090458
FEI/EIN Number 46-2223445
Address: 478 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL, 33341, US
Mail Address: 478 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL, 33341, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JACOBS DANIEL M President 478 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL, 33341
JACOBS DANIEL M Director 478 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL, 33341
SHOFSTALL WILLIAM G Agent 828 SQUIRE DRIVE, WELLINGTON, FL, 33414

National Provider Identifier

NPI Number:
1326482316

Authorized Person:

Name:
DR. DANIEL MORRIS JACOBS
Role:
OWNER/MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 - -
CHANGE OF PRINCIPAL ADDRESS 2013-03-11 478 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL 33341 -
CHANGE OF MAILING ADDRESS 2013-03-11 478 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL 33341 -
NAME CHANGE AMENDMENT 2013-02-22 JOSANA MEDICAL LABORATORY, INC. -

Documents

Name Date
ANNUAL REPORT 2013-03-11
Name Change 2013-02-22
Domestic Profit 2012-10-24

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Date of last update: 03 Jul 2025

Sources: Florida Department of State