| Entity Name: | PULMONARY CARE OF CORDELE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 May 1994 (31 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P94000033695 |
| FEI/EIN Number | 59-3238245 |
| Mail Address: | 165 WELLS ROAD, SUITE 304, ORANGE PARK, FL 32073 |
| Address: | 14131 WAVERLY FALLS LANE W, JACKSONVILLE, FL 32224-5858 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497832422 | 2006-11-01 | 2008-03-21 | 14131 WAVERLY FALLS LN W, JACKSONVILLE, FL, 322245858, US | 14131 WAVERLY FALLS LN W, JACKSONVILLE, FL, 322245858, US | |||||||||||||||||||||
|
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| Phone | +1 904-223-1602 |
Authorized person
| Name | ALBERT THEODORE HATCH |
| Role | MANAGER |
| Phone | 9042231602 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| State | GA |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 00252722 |
| State | GA |
| Name | Role | Address |
|---|---|---|
| HATCH, ALBERT T | Agent | 14131 WAVERLY FALLS LANE W, JACKSONVILLE, FL 32224 |
| Name | Role | Address |
|---|---|---|
| HATCH, ALBERT T | Director | 14131 WAVERLY FALLS LANE W, JACKSONVILLE, FL 32224 |
| HATCH, LETSEY L | Director | 14131 WAVERLY FALLS LANE W, JACKSONVILLE, FL 32224 |
| Name | Role | Address |
|---|---|---|
| HATCH, ALBERT T | President | 14131 WAVERLY FALLS LANE W, JACKSONVILLE, FL 32224 |
| Name | Role | Address |
|---|---|---|
| HATCH, LETSEY L | Vice President | 14131 WAVERLY FALLS LANE W, JACKSONVILLE, FL 32224 |
| Name | Role | Address |
|---|---|---|
| ST JOHN, TAMMY JANE | Treasurer | 2841 CANYON FALLS DR, JACKSONVILLE, FL 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2007-03-30 | 14131 WAVERLY FALLS LANE W, JACKSONVILLE, FL 32224-5858 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1997-02-21 | 14131 WAVERLY FALLS LANE W, JACKSONVILLE, FL 32224-5858 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1997-02-21 | 14131 WAVERLY FALLS LANE W, JACKSONVILLE, FL 32224 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-01-28 |
| ANNUAL REPORT | 2007-03-30 |
| ANNUAL REPORT | 2006-03-13 |
| ANNUAL REPORT | 2005-07-26 |
| ANNUAL REPORT | 2004-04-08 |
| ANNUAL REPORT | 2003-01-15 |
| ANNUAL REPORT | 2002-04-25 |
| ANNUAL REPORT | 2001-05-11 |
| ANNUAL REPORT | 2000-04-14 |
| ANNUAL REPORT | 1999-04-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
