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JAMES C. BOMAN, JR., M.D., P.A.

Company Details

Entity Name: JAMES C. BOMAN, JR., M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 19 Sep 1995 (29 years ago)
Date of dissolution: 04 Sep 2012 (12 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 04 Sep 2012 (12 years ago)
Document Number: P95000072980
FEI/EIN Number 22-3397246
Address: MEMORIAL HOSPITAL, 3625 S UNIV BLVD, JACKSONVILLE, FL 32258
Mail Address: 12860 PLUMMER GRANT ROAD, JACKSONVILLE, FL 32258
ZIP code: 32258
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992849954 2007-02-16 2007-09-24 PO BOX 863011, ORLANDO, FL, 328863011, US 3625 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164207, US

Contacts

Phone +1 904-421-2119

Authorized person

Name JAMES BOMAN
Role SELF
Phone 9044212119

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes

Agent

Name Role Address
PEPER, RICHARD CJR. Agent 3020 HARTLEY ROAD STE 350, JACKSONVILLE, FL 32257

President

Name Role Address
BOMAN, JAMES CJR. President 12860 PLUMMER GRANT ROAD, JACKSONVILLE, FL 32258

Secretary

Name Role Address
BOMAN, JAMES CJR. Secretary 12860 PLUMMER GRANT ROAD, JACKSONVILLE, FL 32258

Treasurer

Name Role Address
BOMAN, JAMES CJR. Treasurer 12860 PLUMMER GRANT ROAD, JACKSONVILLE, FL 32258

Director

Name Role Address
BOMAN, JAMES CJR. Director 12860 PLUMMER GRANT ROAD, JACKSONVILLE, FL 32258

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2012-09-04 No data No data
CHANGE OF PRINCIPAL ADDRESS 1998-01-16 MEMORIAL HOSPITAL, 3625 S UNIV BLVD, JACKSONVILLE, FL 32258 No data

Documents

Name Date
Voluntary Dissolution 2012-09-04
ANNUAL REPORT 2012-02-26
ANNUAL REPORT 2011-01-10
ANNUAL REPORT 2010-02-05
ANNUAL REPORT 2009-01-15
ANNUAL REPORT 2008-01-14
ANNUAL REPORT 2007-03-29
ANNUAL REPORT 2006-03-24
ANNUAL REPORT 2005-02-24
ANNUAL REPORT 2004-03-31

Date of last update: 02 Feb 2025

Sources: Florida Department of State