| Entity Name: | CHARLES F. NARDI, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Feb 1999 (26 years ago) |
| Date of dissolution: | 23 Feb 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Feb 2024 (a year ago) |
| Document Number: | P99000010912 |
| FEI/EIN Number | 593580052 |
| Address: | 6021 NW 1ST PLACE, GAINESVILLE, FL, 32607 |
| Mail Address: | 6021 NW 1ST PLACE, GAINESVILLE, FL, 32607 |
| ZIP code: | 32607 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710205091 | 2010-05-11 | 2010-06-01 | 6021 NW 1ST PL, GAINESVILLE, FL, 326072025, US | 6021 NW 1ST PL, GAINESVILLE, FL, 326072025, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 352-331-6015 |
| Fax | 3523316014 |
Authorized person
| Name | CHARLES F NARDI |
| Role | OWNER |
| Phone | 3523316015 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Number | 43373 |
| State | FL |
| Issuer | MEDICAID |
| Number | 254622100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NARDI CHARLES FM.D. | Agent | 6021 NW 1ST PLACE, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| NARDI CHARLES FM.D. | Director | 6021 NW 1ST PLACE, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| NARDI CHARLES FM.D. | President | 6021 NW 1ST PLACE, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| NARDI CHARLES FM.D. | Secretary | 6021 NW 1ST PLACE, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| NARDI CHARLES FM.D. | Treasurer | 6021 NW 1ST PLACE, GAINESVILLE, FL, 32607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-02-23 | No data | WITH NOTICE |
| REGISTERED AGENT NAME CHANGED | 2016-03-15 | NARDI, CHARLES F, M.D. | No data |
| AMENDED AND RESTATEDARTICLES | 2009-01-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-01-20 | 6021 NW 1ST PLACE, GAINESVILLE, FL 32607 | No data |
| CHANGE OF MAILING ADDRESS | 2001-01-20 | 6021 NW 1ST PLACE, GAINESVILLE, FL 32607 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-01-20 | 6021 NW 1ST PLACE, GAINESVILLE, FL 32607 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2024-02-23 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-03-15 |
| ANNUAL REPORT | 2015-02-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
