| Entity Name: | OSPREY OF NORTH FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Aug 1996 (28 years ago) |
| Document Number: | P96000069014 |
| FEI/EIN Number | 650718395 |
| Address: | 2380 SADLER ROAD, SUITE 201, FERNANDINA BEACH, FL, 32034, US |
| Mail Address: | 2380 SADLER ROAD, SUITE 201, FERNANDINA BEACH, FL, 32034, US |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134278203 | 2007-01-09 | 2020-08-22 | 587 SE ERMINE AVE, LAKE CITY, FL, 320256126, US | 587 SE ERMINE AVE, LAKE CITY, FL, 320256126, US | |||||||||||||||||||
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| Phone | +1 386-752-7800 |
| Fax | 3867527337 |
Authorized person
| Name | MRS. JOANN GNEWUCH |
| Role | ADMINISTRATOR |
| Phone | 3867527800 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF12700961 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILSON CHARLES | Agent | 3030 HARTLEY RD, JACKSONVILLE, FL, 32257 |
| Name | Role | Address |
|---|---|---|
| SELL STEVEN W | Director | 2380 SADLER ROAD, SUITE 201, FERNANDINA BEACH, FL, 32034 |
| WILSON J. CHARLES | Director | 3030 HARTLEY RD-STE 120, JACKSONVILLE, FL, 32257 |
| BENOIT RICHARD | Director | 3030 HARTLEY ROAD, SUITE 190, JACKSONVILLE, FL, 32257 |
| GRIFFITH EDWARD | Director | P.O. BOX 2589, PONTE VEDRA BEACH, FL, 32004 |
| Name | Role | Address |
|---|---|---|
| SELL STEVEN W | President | 2380 SADLER ROAD, SUITE 201, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| WILSON J. CHARLES | Secretary | 3030 HARTLEY RD-STE 120, JACKSONVILLE, FL, 32257 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000088857 | BAYA POINTE NURSING AND REHABILITATION CENTER | EXPIRED | 2011-09-08 | 2016-12-31 | No data | P.O. BOX 15369, FERNANDINA BEACH, FL, 32035 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
