| Entity Name: | WILLIAM P.J. YETMAN CRNA, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Dec 1998 (26 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P98000107725 |
| FEI/EIN Number | 650882061 |
| Address: | 2204 WINDING CREEK LN, FORT PIERCE, FL, 34981 |
| Mail Address: | 2204 WINDING CREEK LN, FORT PIERCE, FL, 34981 |
| ZIP code: | 34981 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285907881 | 2012-02-14 | 2012-02-14 | PO BOX 8178, PORT SAINT LUCIE, FL, 349858178, US | 1715 SE TIFFANY AVE, PORT SAINT LUCIE, FL, 349527520, US | |||||||||||||||||
|
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| Phone | +1 772-335-7005 |
Authorized person
| Name | WILLIAM PJ YETMAN |
| Role | OWNER |
| Phone | 7723357005 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| License Number | 1452632 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| YETMAN WILLIAM P | Agent | 2204 WINDING CREEK LN, FORT PIERCE, FL, 34981 |
| Name | Role | Address |
|---|---|---|
| YETMAN WILLIAM P | Chief Executive Officer | 2204 WINDING CREEK LN., FORT PIERCE, FL, 34981 |
| Name | Role | Address |
|---|---|---|
| Yetman Marcia L | Officer | 2204 WINDING CREEK LN, FORT PIERCE, FL, 34981 |
| Yetman Bryan A | Officer | 2595 Langrove Lane SW, Vero Beach, FL, 32962 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2004-07-03 | YETMAN, WILLIAM P | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-02-03 | 2204 WINDING CREEK LN, FORT PIERCE, FL 34981 | No data |
| CHANGE OF MAILING ADDRESS | 2001-02-03 | 2204 WINDING CREEK LN, FORT PIERCE, FL 34981 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-02-03 | 2204 WINDING CREEK LN, FORT PIERCE, FL 34981 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-18 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-01-22 |
| ANNUAL REPORT | 2014-04-11 |
| ANNUAL REPORT | 2013-02-01 |
| ANNUAL REPORT | 2012-08-30 |
| ANNUAL REPORT | 2011-04-18 |
| ANNUAL REPORT | 2010-06-17 |
| ANNUAL REPORT | 2009-04-24 |
| ANNUAL REPORT | 2008-03-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
