| Entity Name: | TARA ENNIS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Jul 2014 (11 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | P14000060214 |
| FEI/EIN Number | 47-1364288 |
| Address: | 1042 Mar Walt Drive, FORT WALTON BEACH, FL, 32547, US |
| Mail Address: | 1042 Mar Walt Drive, FORT WALTON BEACH, FL, 32547, US |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| Ennis Tara | Agent | 1042 Mar Walt Drive, FORT WALTON BEACH, FL, 32547 |
| Name | Role | Address |
|---|---|---|
| Rodgers Leslie | Officer | 1042 Mar Walt Drive, FORT WALTON BEACH, FL, 32547 |
| Name | Role | Address |
|---|---|---|
| ENNIS TARA M.D. | President | 1042 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000109252 | NORTH FLORIDA SURGEONS, FORT WALTON BEACH DIVISION | ACTIVE | 2020-08-24 | 2025-12-31 | No data | 1042 MARWALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2022-01-19 | TARA ENNIS, M.D., P.A. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-08 | 1042 Mar Walt Drive, FORT WALTON BEACH, FL 32547 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-08 | 1042 Mar Walt Drive, FORT WALTON BEACH, FL 32547 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-10-08 | Ennis, Tara | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-10-08 | 1042 Mar Walt Drive, FORT WALTON BEACH, FL 32547 | No data |
| REINSTATEMENT | 2021-10-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-01-31 |
| Amendment and Name Change | 2022-01-19 |
| REINSTATEMENT | 2021-10-08 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
