| Entity Name: | RICHARD D. CASON, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Nov 1997 (27 years ago) |
| Document Number: | P97000098329 |
| FEI/EIN Number | 594783522 |
| Address: | 328 W. HOWARD STREET, LIVE OAK, FL, 32064 |
| Mail Address: | 328 W. HOWARD STREET, LIVE OAK, FL, 32064 |
| ZIP code: | 32064 |
| County: | Suwannee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578863106 | 2010-10-29 | 2010-10-29 | 328 HOWARD ST W, LIVE OAK, FL, 320642306, US | 328 HOWARD ST W, LIVE OAK, FL, 320642306, US | |||||||||||||||||||||||||
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| Phone | +1 386-362-2411 |
| Fax | 3863647002 |
Authorized person
| Name | DR. RICHARD D. CASON |
| Role | OWNER |
| Phone | 3863622411 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH1283 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051118800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CASON RICHARD D | Agent | 328 W. HOWARD STREET, LIVE OAK, FL, 32064 |
| Name | Role | Address |
|---|---|---|
| CASON RICHARD D | Director | 9298 71ST DRIVE, LIVE OAK, FL, 32060 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-04-07 | No data | No data |
| CANCEL ADM DISS/REV | 2006-05-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
