| Entity Name: | NINTH AVENUE MEDICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Mar 1996 (29 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P96000028206 |
| FEI/EIN Number | 593371018 |
| Address: | 4455 N. 9TH AVENUE, PENSACOLA, FL, 32503 |
| Mail Address: | 4455 N. 9TH AVENUE, PENSACOLA, FL, 32503 |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760755490 | 2012-02-10 | 2012-02-10 | 4455 N 9TH AVE, PENSACOLA, FL, 325032830, US | 4455 N 9TH AVE, PENSACOLA, FL, 325032830, US | |||||||||||||||||||
|
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| Phone | +1 850-433-9337 |
| Fax | 8504338069 |
Authorized person
| Name | DR. TERRY J. WALLACE |
| Role | OWNER/PRESIDENT |
| Phone | 8504339337 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH4532 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Wallace Dale | Agent | 4455 N. 9TH AVENUE, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| WALLACE Dale | President | 4455 N. 9TH AVENUE, PENSACOLA, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-11 | Wallace, Dale | No data |
| CHANGE OF MAILING ADDRESS | 2009-02-17 | 4455 N. 9TH AVENUE, PENSACOLA, FL 32503 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-08 |
| ANNUAL REPORT | 2015-01-13 |
| ANNUAL REPORT | 2014-02-10 |
| ANNUAL REPORT | 2013-01-21 |
| ANNUAL REPORT | 2012-04-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
