| Entity Name: | LUCID STAR HEALTHCARE OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Aug 2014 (11 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: | P14000067246 |
| FEI/EIN Number | 47-1532096 |
| Address: | 25 n. market street, JACKSONVILLE, FL, 32202, US |
| Mail Address: | 25 n. market street, JACKSONVILLE, FL, 32202, US |
| ZIP code: | 32202 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265825145 | 2015-03-16 | 2015-03-16 | 841 PRUDENTIAL DR, 12TH. FLOOR, JACKSONVILLE, FL, 322078329, US | 841 PRUDENTIAL DR, 12TH. FLOOR, JACKSONVILLE, FL, 322078329, US | |||||||||||||||||||
|
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| Phone | +1 877-296-2293 |
Authorized person
| Name | CHRIS TOBEY |
| Role | DIRECTOR |
| Phone | 9045348814 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007140900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TOBEY CHRIS | Agent | 841 PRUDENTIAL DRIVE, 12TH FLOOR, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| TOBEY CHRIS | President | 841 PRUDENTIAL DRIVE, 12TH FLOOR, JACKSONVILLE, FL, 32207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000053707 | LUCID STAR CAREGIVERS | EXPIRED | 2018-04-30 | 2023-12-31 | No data | 841 PRUDENTIAL DR., SUITE 1230, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-11-01 | 25 n. market street, JACKSONVILLE, FL 32202 | No data |
| CHANGE OF MAILING ADDRESS | 2018-11-01 | 25 n. market street, JACKSONVILLE, FL 32202 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-09-17 | 841 PRUDENTIAL DRIVE, 12TH FLOOR, JACKSONVILLE, FL 32207 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000110773 | ACTIVE | 1000000815013 | DUVAL | 2019-02-08 | 2039-02-13 | $ 960.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| J18000606137 | ACTIVE | 1000000794498 | DUVAL | 2018-08-21 | 2028-08-29 | $ 433.06 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-09-15 |
| ANNUAL REPORT | 2016-09-16 |
| ANNUAL REPORT | 2015-09-17 |
| Domestic Profit | 2014-08-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
