Entity Name: | BRENDA K MOORE DO PA |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 23 Sep 2014 (10 years ago) |
Date of dissolution: | 22 Sep 2023 (a year ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2023 (a year ago) |
Document Number: | P14000078742 |
FEI/EIN Number | 47-1907800 |
Address: | 1003 COLLEGE BLVD W, STE 2, NICEVILLE, FL 32578 |
Mail Address: | 1003 COLLEGE BLVD W, STE 2, NICEVILLE, FL 32578 |
ZIP code: | 32578 |
County: | Okaloosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1255733986 | 2014-09-25 | 2014-09-25 | 1003 COLLEGE BLVD W, SUITE #2, NICEVILLE, FL, 325781068, US | 1003 COLLEGE BLVD W, SUITE #2, NICEVILLE, FL, 325781068, US | |||||||||||||||||
|
Phone | +1 850-678-0443 |
Authorized person
Name | BRENDA KAY MOORE |
Role | PRESIDENT |
Phone | 8326861965 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
License Number | OS 12957 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MOORE, BRENDA K | Agent | 1003 COLLEGE BLVD W, STE 2, NICEVILLE, FL 32578 |
Name | Role | Address |
---|---|---|
MOORE, BRENDA K | President | 1003 COLLEGE BLVD W STE 2, NICEVILLE, FL 32578 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2022-02-01 |
ANNUAL REPORT | 2021-02-07 |
ANNUAL REPORT | 2020-04-26 |
ANNUAL REPORT | 2019-05-18 |
ANNUAL REPORT | 2018-04-29 |
ANNUAL REPORT | 2017-07-01 |
ANNUAL REPORT | 2016-04-27 |
ANNUAL REPORT | 2015-04-06 |
Domestic Profit | 2014-09-23 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State