| Entity Name: | COLUMBIA EMERGENCY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Mar 2024 (a year ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Jul 2024 (6 months ago) |
| Document Number: | P24000017179 |
| Address: | 360 NW BASCOM NORRIS DR, LAKE CITY, FL 32055 |
| Mail Address: | 360 NW BASCOM NORRIS DR, LAKE CITY, FL 32055 |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033968318 | 2024-05-17 | 2024-11-08 | 509 SW BASCOM NORRIS DR UNIT 102, LAKE CITY, FL, 320251331, US | 509 SW BASCOM NORRIS DR UNIT 102, LAKE CITY, FL, 320251331, US | |||||||||||||
|
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| Phone | +1 270-727-0450 |
Authorized person
| Name | TOBY WITT |
| Role | AUTHORIZED OFFICIAL |
| Phone | 2707270450 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KRIS, ROBINSON B | Agent | 582 WEST DUVAL ST, LAKE CITY, FL 32055 |
| Name | Role | Address |
|---|---|---|
| ROUSH, DON | President | 245 NW FLINTLOCK GLN, LAKE CITY, FL 32055 |
| Name | Role | Address |
|---|---|---|
| WITT, TOBY | Treasurer | 2025 SE STATE ROAD 238, LAKE CITY, FL 32025 |
| Name | Role | Address |
|---|---|---|
| PEELER, JUSTIN | Secretary | 491 SW KINARD COURT, FORT WHITE, FL 32038 |
| Name | Role | Address |
|---|---|---|
| GILSON, MATT | Vice President | 7406 W. SMOOTH BORE AVENUE, GLEN SAINT MARY, FL 32040 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000114976 | COLUMBIA EMS | ACTIVE | 2024-09-13 | 2029-12-31 | No data | 360 NW BASCOM NORRIS DR, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-07-16 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2024-07-16 |
| Domestic Profit | 2024-03-05 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
