Entity Name: | JEFFREY LANG, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 20 Aug 1974 (50 years ago) |
Date of dissolution: | 16 Nov 1987 (37 years ago) |
Last Event: | INVOLUNTARILY DISSOLVED |
Event Date Filed: | 16 Nov 1987 (37 years ago) |
Document Number: | 460031 |
FEI/EIN Number | 59-1546206 |
Address: | 2780 CLEVELAND AVENUE, FT. MYERS, FL 33901 |
Mail Address: | 2780 CLEVELAND AVENUE, FT. MYERS, FL 33901 |
ZIP code: | 33901 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1467713198 | 2012-05-29 | 2012-05-29 | 2780 CLEVELAND AVE, SUITE 806, FORT MYERS, FL, 339015858, US | 2780 CLEVELAND AVE, SUITE 806, FORT MYERS, FL, 339015858, US | |||||||||||||||||||
|
Phone | +1 239-337-0100 |
Fax | 2393370102 |
Authorized person
Name | DR. JEFFREY LANG |
Role | OWNER |
Phone | 2393370100 |
Taxonomy
Taxonomy Code | 208200000X - Plastic Surgery Physician |
License Number | ME19470 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LANG, JEFFREY | Agent | 13530 BRYNWOOD LANE, FT. MYERS, FL 33912 |
Name | Role | Address |
---|---|---|
LANG, VIVIAN | Secretary | 23 BRYNWOOD LANE, FT MYERS, FL |
Name | Role | Address |
---|---|---|
LANG, JEFFREY | President | 2780 CLEVELAND AVENUE, FT MYERS, FL |
Name | Role | Address |
---|---|---|
LANG, JEFFREY | Director | 2780 CLEVELAND AVENUE, FT MYERS, FL |
Event Type | Filed Date | Value | Description |
---|---|---|---|
INVOLUNTARILY DISSOLVED | 1987-11-16 | No data | No data |
REGISTERED AGENT NAME CHANGED | 1985-06-18 | LANG, JEFFREY | No data |
REGISTERED AGENT ADDRESS CHANGED | 1985-06-18 | 13530 BRYNWOOD LANE, FT. MYERS, FL 33912 | No data |
Date of last update: 06 Feb 2025
Sources: Florida Department of State