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JEFFREY LANG, M.D., P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
LANG, JEFFREY Agent 13530 BRYNWOOD LANE, FT. MYERS, FL 33912

Secretary

Name Role Address
LANG, VIVIAN Secretary 23 BRYNWOOD LANE, FT MYERS, FL

President

Name Role Address
LANG, JEFFREY President 2780 CLEVELAND AVENUE, FT MYERS, FL

Director

Name Role Address
LANG, JEFFREY Director 2780 CLEVELAND AVENUE, FT MYERS, FL

Events

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