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FORT MYERS NURSING AGENCY, INC.

Company Details

Entity Name: FORT MYERS NURSING AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 10 Apr 1997 (28 years ago)
Date of dissolution: 26 Mar 2015 (10 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 26 Mar 2015 (10 years ago)
Document Number: P97000032542
FEI/EIN Number 65-0745526
Address: 11220 METRO PKWY., STE. 19, FT. MYERS, FL 33966
Mail Address: 2517 Retunda Pkwy. E., Cape Coral, FL 33904
ZIP code: 33966
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093136509 2013-12-31 2013-12-31 11220 METRO PKWY, SUITE 19, FORT MYERS, FL, 339661264, US 11220 METRO PKWY, SUITE 19, FORT MYERS, FL, 339661264, US

Contacts

Phone +1 239-277-1168
Fax 2392771201

Authorized person

Name JACQUELINE MARIE PAMPINELLA
Role ADMINISTRATOR
Phone 2392771168

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number 299991096
State FL
Is Primary Yes

Agent

Name Role Address
PAMPINELLA, PHILIP Agent 2517 Retunda Pkwy. E., Cape Coral, FL 33904

President

Name Role Address
PAMPINELLA, PHILIP President 2517 E RETUNDA PKWY, CAPE CORAL, FL 33904

Director

Name Role Address
PAMPINELLA, PHILIP Director 2517 E RETUNDA PKWY, CAPE CORAL, FL 33904
PAMPINELLA, JACQUELINE M Director 2517 E RETUNDA PKWY, CAPE CORAL, FL 33904

Vice President

Name Role Address
PAMPINELLA, JACQUELINE M Vice President 2517 E RETUNDA PKWY, CAPE CORAL, FL 33904

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2015-03-26 No data No data
CHANGE OF MAILING ADDRESS 2014-04-25 11220 METRO PKWY., STE. 19, FT. MYERS, FL 33966 No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-25 2517 Retunda Pkwy. E., Cape Coral, FL 33904 No data
CHANGE OF PRINCIPAL ADDRESS 2011-01-07 11220 METRO PKWY., STE. 19, FT. MYERS, FL 33966 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2015-03-26
ANNUAL REPORT 2014-04-25
ANNUAL REPORT 2013-04-10
ANNUAL REPORT 2012-03-14
ANNUAL REPORT 2011-01-07
ANNUAL REPORT 2010-03-03
ANNUAL REPORT 2009-03-24
ANNUAL REPORT 2008-06-23
ANNUAL REPORT 2007-04-23
ANNUAL REPORT 2006-04-07

Date of last update: 01 Feb 2025

Sources: Florida Department of State