| Entity Name: | MEDICAL NUTRITION THERAPY OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Nov 1997 (27 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P97000099375 |
| FEI/EIN Number | 593477178 |
| Address: | 4237 Salisbury Rd N, SUITE 314, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 4237 Salisbury Rd N, SUITE 314, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871600700 | 2006-08-24 | 2014-10-27 | 4237 SALISBURY RD N, STE 314, JACKSONVILLE, FL, 322578029, US | 4237 SALISBURY RD N, STE 314, JACKSONVILLE, FL, 322578029, US | |||||||||||||||||||||
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| Phone | +1 904-724-2043 |
| Fax | 9047242013 |
Authorized person
| Name | CATHERINE L TRCALEK |
| Role | PRESIDENT |
| Phone | 9047242043 |
Taxonomy
| Taxonomy Code | 133V00000X - Registered Dietitian |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HEALTHEASE/WELLCARE |
| Number | 165968 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Trcalek Cathy L | Agent | 4237 Salisbury Rd N, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| trcalek cathy | President | 4237 Salisbury Rd N, JACKSONVILLE, FL, 32216 |
| TRCALEK CATHY | President | 4889 JAYBIRD CIRCLE N, JACKSONVILLE, FL, 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-21 | Trcalek, Cathy L | No data |
| REINSTATEMENT | 2016-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2015-10-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-13 | 4237 Salisbury Rd N, SUITE 314, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-13 | 4237 Salisbury Rd N, SUITE 314, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2013-02-13 | 4237 Salisbury Rd N, SUITE 314, JACKSONVILLE, FL 32216 | No data |
| REINSTATEMENT | 2011-10-03 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2016-10-21 |
| REINSTATEMENT | 2015-10-27 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-02-13 |
| ANNUAL REPORT | 2012-04-12 |
| REINSTATEMENT | 2011-10-03 |
| ANNUAL REPORT | 2010-04-19 |
| ANNUAL REPORT | 2009-04-06 |
| ANNUAL REPORT | 2008-04-16 |
| ANNUAL REPORT | 2007-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
