| Entity Name: | SIDNEY POSSICK, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SIDNEY POSSICK, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 31 Dec 1974 (50 years ago) |
| Date of dissolution: | 23 Sep 2016 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (9 years ago) |
| Document Number: | 466988 |
| FEI/EIN Number |
591567074
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 655 N CLYDE MORRIS BLVD, SUITE B, DAYTONA BCH, FL, 32114 |
| Mail Address: | 655 N CLYDE MORRIS BLVD, SUITE B, DAYTONA BCH, FL, 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174851158 | 2009-12-02 | 2010-01-26 | 655 N CLYDE MORRIS BLVD, SUITE B, DAYTONA BEACH, FL, 321142321, US | 655 N CLYDE MORRIS BLVD, SUITE B, DAYTONA BEACH, FL, 321142321, US | |||||||||||||||||||||||||
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| Phone | +1 386-252-5578 |
| Fax | 3862573660 |
Authorized person
| Name | DR. SIDNEY POSSICK |
| Role | PRESIDENT |
| Phone | 3862525578 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | ME19498 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | CM988A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| POSSICK, SIDNEY | President | 655 N. CLYDE MORRIS, DAYTONA BEACH, FL |
| POSSICK, SIDNEY | Director | 655 N. CLYDE MORRIS, DAYTONA BEACH, FL |
| KANEY, JONATHAN | Agent | ATLANTIC BANK BLDG., DAYTONA BEACH, FL, 32114 |
| Bolerjack Daniel JCPA | Authorized Representative | 42 S Peninsula Dr, Daytona Beach, FL, 32118 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-01-18 | 655 N CLYDE MORRIS BLVD, SUITE B, DAYTONA BCH, FL 32114 | - |
| CHANGE OF MAILING ADDRESS | 2005-01-18 | 655 N CLYDE MORRIS BLVD, SUITE B, DAYTONA BCH, FL 32114 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2004-04-19 | ATLANTIC BANK BLDG., SEABREEZE AVE., DAYTONA BEACH, FL 32114 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-21 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-04-10 |
| ANNUAL REPORT | 2012-01-11 |
| ANNUAL REPORT | 2011-01-06 |
| ANNUAL REPORT | 2010-02-03 |
| ANNUAL REPORT | 2009-03-17 |
| ANNUAL REPORT | 2008-04-24 |
| ANNUAL REPORT | 2007-02-08 |
| ANNUAL REPORT | 2006-03-17 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
