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HEALTHNET OF CENTRAL FLORIDA, P.A. - Florida Company Profile

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Company Details

Entity Name: HEALTHNET OF CENTRAL FLORIDA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 Dec 1997 (28 years ago)
Date of dissolution: 19 Dec 2018 (7 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 19 Dec 2018 (7 years ago)
Document Number: P97000102404
FEI/EIN Number 593488934
Address: 1785 GARDEN ST., TITUSVILLE, FL, 32796, US
Mail Address: 1785 Garden Street, TITUSVILLE, FL, 32796, US
ZIP code: 32796
City: Titusville
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
STOREY MARK Secretary 1785 GARDEN STREET, TITUSVILLE, FL, 32796
WILLIAM R. HUSEMAN, PA Agent 3733 UNIVERSITY BOULEVARD WEST, JACKSONVILLE, FL, 32217

National Provider Identifier

NPI Number:
1285796052

Authorized Person:

Name:
STEPHEN J LAGERGREN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3212644228

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2018-12-19 - -
CHANGE OF MAILING ADDRESS 2017-02-14 1785 GARDEN ST., TITUSVILLE, FL 32796 -
CHANGE OF PRINCIPAL ADDRESS 2010-11-19 1785 GARDEN ST., TITUSVILLE, FL 32796 -
REGISTERED AGENT NAME CHANGED 2009-01-05 WILLIAM R. HUSEMAN, PA -
REGISTERED AGENT ADDRESS CHANGED 2009-01-05 3733 UNIVERSITY BOULEVARD WEST, SUITE 210B, JACKSONVILLE, FL 32217 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2018-12-19
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-02-19
ANNUAL REPORT 2015-01-26
ANNUAL REPORT 2014-01-14
ANNUAL REPORT 2013-04-11
ANNUAL REPORT 2012-01-09
ANNUAL REPORT 2011-02-17
ADDRESS CHANGE 2010-11-19

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Date of last update: 02 Aug 2025

Sources: Florida Department of State