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ADVANCED OTOLARYNGOLOGY SERVICES, P.A. - Florida Company Profile

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Company Details

Entity Name: ADVANCED OTOLARYNGOLOGY SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Aug 1994 (31 years ago)
Date of dissolution: 22 Aug 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 22 Aug 2023 (2 years ago)
Document Number: P94000057478
FEI/EIN Number 593257868
Address: 3627 UNIVERSITY BLVD., STE 210, JACKSONVILLE, FL, 32216-4211, US
Mail Address: 8006 Oak Hammock Ct, JACKSONVILLE, FL, 32256, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BECK RICHARD A Agent 3627 UNIVERSITY BLVD. S., JACKSONVILLE, FL, 32216
MEDAUGH PEGGY A Treasurer 3627 UNIVERSITY BLVD S STE 210, JACKSONVILLE, FL, 32216
BECK RICHARD A President 3627 UNIVERSITY BLVD S, STE 210, JACKSONVILLE, FL, 322164211
BECK RICHARD A Vice President 3627 UNIVERSITY BLVD S, STE 210, JACKSONVILLE, FL, 322164211
MEDAUGH PEGGY A Secretary 3627 UNIVERSITY BLVD S STE 210, JACKSONVILLE, FL, 32216
BECK RICHARD A Director 3627 UNIVERSITY BLVD S, STE 210, JACKSONVILLE, FL, 322164211

National Provider Identifier

NPI Number:
1558376004

Authorized Person:

Name:
RICHARD BECK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Fax:
9043962520

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000004682 ADVANCED MEDICAL SPAA SERVICES EXPIRED 2015-01-13 2020-12-31 - 3627 UNIVERSITY BLVD S, STE 210, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-08-22 - -
CHANGE OF MAILING ADDRESS 2023-04-24 3627 UNIVERSITY BLVD., STE 210, JACKSONVILLE, FL 32216-4211 -
REGISTERED AGENT NAME CHANGED 2011-03-14 BECK, RICHARD AMD -
REGISTERED AGENT ADDRESS CHANGED 2011-03-14 3627 UNIVERSITY BLVD. S., 210, JACKSONVILLE, FL 32216 -
CHANGE OF PRINCIPAL ADDRESS 1997-03-13 3627 UNIVERSITY BLVD., STE 210, JACKSONVILLE, FL 32216-4211 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-08-22
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-06-26
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-05-01

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$56,427
Date Approved:
2021-01-21
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$56,427
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$56,757.83
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $56,425

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Date of last update: 03 Aug 2025

Sources: Florida Department of State