| Entity Name: | ST NICHOLAS AMBULATORY SURGICAL CENTER PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 Nov 2013 (11 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P13000091346 |
| FEI/EIN Number | 46-4060359 |
| Address: | 2624 ATLANTIC BLVD, SUITE 4, JACKSONVILLE, FL 32207 |
| Mail Address: | 2570 ATLANTIC BLVD, JACKSONVILLE, FL 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194154161 | 2013-11-11 | 2013-11-11 | 2624 ATLANTIC BLVD, JACKSONVILLE, FL, 322073668, US | 2570 ATLANTIC BLVD, JACKSONVILLE, FL, 322073604, US | |||||||||||||||
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| Phone | +1 904-647-8576 |
| Fax | 9042533098 |
Authorized person
| Name | DR. RENE U PULIDO |
| Role | PRESIDENT |
| Phone | 9046478576 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PULIDO, RENE U | Agent | 2570 ATLANTIC BLVD, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| PULIDO, RENE U | President | 2624 ATLANTIC BLVD STE 4, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| PULIDO, RENE U | Secretary | 2624 ATLANTIC BLVD STE 4, JACKSONVILLE, FL 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-13 |
| Domestic Profit | 2013-11-07 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
