| Entity Name: | NASSAU PEST MANAGEMENT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Aug 1999 (26 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 24 Oct 2007 (17 years ago) |
| Document Number: | P99000071806 |
| FEI/EIN Number | 593592679 |
| Address: | 812 Stanley Dr, Fernandian Beach, FL, 32034, US |
| Mail Address: | P.O. BOX 16475, FERNANDINA BEACH, FL, 32035, UN |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699782706 | 2006-08-02 | 2020-03-23 | PO BOX 16475, FERNANDINA BEACH, FL, 320353125, US | 97056 CARPENTER RIDGE CT, YULEE, FL, 320975053, US | |||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 904-591-1522 |
| Fax | 9046247095 |
Authorized person
| Name | MR. JOHN PHILLIP PROM |
| Role | PRESIDENT |
| Phone | 9045911522 |
Taxonomy
| Taxonomy Code | 171WH0202X - Home Modifications Contractor |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | JB5513 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 676130503 |
| State | FL |
| Issuer | MEDICAID |
| Number | 676130502 |
| State | FL |
| Issuer | MEDICAID |
| Number | 676130500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PROM JOHN P | Agent | 812 Stanley Dr, Fernandian Beach, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| PROM JOHN P | President | 812 Stanley Dr, Fernandian Beach, FL, 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-25 | 812 Stanley Dr, Fernandian Beach, FL 32034 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-25 | 812 Stanley Dr, Fernandian Beach, FL 32034 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-29 | 812 Stanley Dr, Fernandian Beach, FL 32034 | No data |
| CANCEL ADM DISS/REV | 2007-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-04-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
