| Entity Name: | SOUTHEASTERN HEARING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Mar 1992 (33 years ago) |
| Document Number: | V23648 |
| FEI/EIN Number | 593112266 |
| Mail Address: | 426 ROYAL TERN ROAD SOUTH, JACKSONVILLE BEACH, FL, 32250, US |
| Address: | 4006 SOUTH THIRD STREET, JACKSONVILLE BEACH, FL, 32250, US |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902345085 | 2017-02-22 | 2017-02-22 | 4006 3RD ST S, JACKSONVILLE BEACH, FL, 322505848, US | 4006 3RD ST S, JACKSONVILLE BEACH, FL, 322505848, US | |||||||||||||||||||||||
|
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| Phone | +1 904-247-4327 |
Authorized person
| Name | TROY MAHAN |
| Role | OWNER/PRESIDENT |
| Phone | 9042474327 |
Taxonomy
| Taxonomy Code | 332S00000X - Hearing Aid Equipment |
| License Number | AS2210 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | J0655 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MAHAN TROY C | Agent | 4006 SOUTH THIRD STREET, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| MAHAN TROY C | President | 426 ROYAL TERN ROAD SOUTH, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| MAHAN TROY C | Secretary | 426 ROYAL TERN ROAD SOUTH, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| MAHAN TROY C | Treasurer | 426 ROYAL TERN ROAD SOUTH, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| MAHAN TROY C | Director | 426 ROYAL TERN ROAD SOUTH, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| MAHAN PAMELA J | Vice President | 426 ROYAL TERN ROAD SOUTH, JACKSONVILLE BEACH, FL, 32250 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000005290 | CLEAR EAR HEARING SOLUTIONS | ACTIVE | 2012-01-16 | 2028-12-31 | No data | 4006 S. THIRD ST, JACKSONVILLE BEACH, FL, 32250-5848 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2004-07-15 | No data | No data |
| REINSTATEMENT | 1994-12-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1994-08-26 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
