| Entity Name: | MCCARTY C.R.N.A., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Aug 1994 (30 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Jan 2021 (4 years ago) |
| Document Number: | P94000061704 |
| FEI/EIN Number | 59-3260731 |
| Address: | 1780 NW 34ST, #7, GAINESVILLE, FL 32605 |
| Mail Address: | 1780 NW 34 st, #7, GAINESVILLE, FL 32605 |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942307491 | 2006-09-19 | 2020-08-22 | 4131 N.W. 13TH STREET, SUITE 101, GAINESVILLE, FL, 326091858, US | 2521 NW 41ST STREET, GAINESVILLE, FL, 326066630, US | |||||||||||||||||||||||||
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| Phone | +1 352-376-1887 |
| Fax | 3523757451 |
| Phone | +1 352-377-7733 |
| Fax | 3523779577 |
Authorized person
| Name | PHYLLIS R. MCCARTY |
| Role | PRESIDENT |
| Phone | 3523777733 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | G1100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCCARTY, PHYLLIS R | Agent | 1780 NW 34ST, #7, GAINESVILLE, FL 32605 |
| Name | Role | Address |
|---|---|---|
| MCCARTY, PHYLLIS R | Director | 1780 NW 34 st, GAINESVILLE, FL 32605 |
| Name | Role | Address |
|---|---|---|
| MCCARTY, PHYLLIS R | President | 1780 NW 34 st, GAINESVILLE, FL 32605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-01-06 | MCCARTY, PHYLLIS R | No data |
| REINSTATEMENT | 2021-01-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-09 | 1780 NW 34ST, #7, GAINESVILLE, FL 32605 | No data |
| REINSTATEMENT | 2013-09-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-09-01 | 1780 NW 34ST, #7, GAINESVILLE, FL 32605 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-09-01 | 1780 NW 34ST, #7, GAINESVILLE, FL 32605 | No data |
| CANCEL ADM DISS/REV | 2010-01-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-04-29 |
| REINSTATEMENT | 2021-01-06 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-05-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
