| Entity Name: | ALICE BOLTON, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Jul 1999 (26 years ago) |
| Date of dissolution: | 01 Apr 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Apr 2022 (3 years ago) |
| Document Number: | P99000063857 |
| FEI/EIN Number | 650872121 |
| Address: | 2577 EDNOR ST, PORT CHARLOTTE, FL, 33952 |
| Mail Address: | 2577 EDNOR ST, PORT CHARLOTTE, FL, 33952 |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346544558 | 2011-01-03 | 2011-01-03 | 2577 EDNOR ST, PORT CHARLOTTE, FL, 339524335, US | 2750 BAHIA VISTA,, STE 108, SARASOTA, FL, 342392636, US | |||||||||||||||||||||||||
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| Phone | +1 941-629-0282 |
| Phone | +1 941-954-1101 |
Authorized person
| Name | MS. ALICE BOLTON |
| Role | OWNER |
| Phone | 9416290282 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | ARNP478692 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS |
| Number | Y3362 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOLTON ALICE | Agent | 2577 EDNOR ST, PORT CHARLOTTE, FL, 33952 |
| Name | Role | Address |
|---|---|---|
| BOLTON ALICE | Director | 2577 EDNOR ST, PORT CHARLOTTE, FL, 33952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-01 | No data | No data |
| CANCEL ADM DISS/REV | 2005-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2022-04-01 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-05-13 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-03-06 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-16 |
| ANNUAL REPORT | 2013-04-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
