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BRENDA K MOORE DO PA

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
MOORE, BRENDA K Agent 1003 COLLEGE BLVD W, STE 2, NICEVILLE, FL 32578

President

Name Role Address
MOORE, BRENDA K President 1003 COLLEGE BLVD W STE 2, NICEVILLE, FL 32578

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

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