| Entity Name: | GREGORY P. SAMANO, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Oct 1975 (49 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | 487055 |
| FEI/EIN Number | 59-1622858 |
| Address: | 807 STATE RD. 44, NEW SMYRNA BEACH, FL 32168 |
| Mail Address: | 101 WAYNE AVE, NEW SMYRNA BEACH, FL 32168 |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306039599 | 2007-08-22 | 2011-02-04 | 807 STATE ROAD 44, NEW SMYRNA BEACH, FL, 321687271, US | 807 STATE ROAD 44, NEW SMYRNA BEACH, FL, 321687271, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 386-428-5554 |
| Fax | 3864097971 |
Authorized person
| Name | GREGORY P. SAMANO |
| Role | PHYSICIAN |
| Phone | 3864285554 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 0S3360 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FAMILY PRACTICE |
| Number | 0S3360 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SAMANO, GREGORY P | Agent | 101 WAYNE AVE, NEW SMYRNA BEACH, FL 32168 |
| Name | Role | Address |
|---|---|---|
| samano, Gregory | President | 101 Wayne Avenue, New Smyrna Beach, FL 32168 |
| Name | Role | Address |
|---|---|---|
| samano, Gregory | Director | 101 Wayne Avenue, New Smyrna Beach, FL 32168 |
| Name | Role | Address |
|---|---|---|
| samano, margaret M | Secretary | 101 WAYNE AVE, NEW SMYRNA BEACH, FL 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-22 | 807 STATE RD. 44, NEW SMYRNA BEACH, FL 32168 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-22 | 101 WAYNE AVE, NEW SMYRNA BEACH, FL 32168 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-08 | 807 STATE RD. 44, NEW SMYRNA BEACH, FL 32168 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-02-11 | SAMANO, GREGORY P | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-02-18 |
| ANNUAL REPORT | 2015-01-27 |
| ANNUAL REPORT | 2014-01-15 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-01-16 |
| ANNUAL REPORT | 2011-01-26 |
| ANNUAL REPORT | 2010-02-08 |
| ANNUAL REPORT | 2009-01-21 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
