| Entity Name: | RAMON SANTIAGO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Jan 1976 (49 years ago) |
| Document Number: | 493909 |
| FEI/EIN Number | 591637805 |
| Address: | 2400 HARBOR BLVD., SUITE 14, PORT CHARLOTTE, FL, 33952 |
| Mail Address: | 2400 HARBOR BLVD., SUITE 14, PORT CHARLOTTE, FL, 33952 |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245408616 | 2008-02-19 | 2008-05-21 | 13250 N 56TH ST, SUITE101, TAMPA, FL, 336171107, US | 13250 N 56TH ST, SUITE101, TAMPA, FL, 336171107, US | |||||||||||||||
|
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| Phone | +1 813-988-1984 |
| Fax | 8139880240 |
Authorized person
| Name | DR. RAMON SANTIAGO |
| Role | OWNER |
| Phone | 8139881984 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANTIAGO, RAMON M.D. | Agent | 2400 HARBOR BLVD., SUITE 14, PORT CHARLOTTE, FL, 33952 |
| Name | Role | Address |
|---|---|---|
| SANTIAGO, RAMON | President | 2400 HARBOR BLVD #14, PORT CHARLOTTE, FL |
| Name | Role | Address |
|---|---|---|
| SANTIAGO, RAMON | Director | 2400 HARBOR BLVD #14, PORT CHARLOTTE, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| NAME CHANGE AMENDMENT | 1978-06-01 | RAMON SANTIAGO, M.D., P.A. | No data |
| NAME CHANGE AMENDMENT | 1976-11-30 | RAMON SANTIAGO, M.D. AND JACINTO OLIVER, M.D., P.A. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
