| Entity Name: | ROBERT A. DUDLEY, C.R.N.A., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Apr 1993 (32 years ago) |
| Document Number: | P93000027954 |
| FEI/EIN Number | 650405339 |
| Address: | 1699 elkhart terr, PORT ST. LUCIE, FL, 34952, US |
| Mail Address: | po box 8178, port st lucie, FL, 34985, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578836169 | 2012-02-14 | 2012-02-14 | PO BOX 8178, PORT SAINT LUCIE, FL, 349858178, US | 1715 SE TIFFANY AVE, PORT SAINT LUCIE, FL, 349527520, US | |||||||||||||||||||||
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| Phone | +1 772-335-7005 |
| Fax | 7723353394 |
| Phone | +1 773-335-7005 |
Authorized person
| Name | ROBERT A DUDLEY |
| Role | OWNER |
| Phone | 7723357005 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| License Number | 1447122 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FARRELL RICKEY L | Agent | 1595 S.E. PORT ST. LUCIE BLVD., PORT ST. LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| DUDLEY ROBERT A | President | po box 8178, port st lucie, FL, 34985 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2008-04-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
