| Entity Name: | THOMAS W. OWNBY, JR. M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Feb 1978 (47 years ago) |
| Document Number: | 559545 |
| FEI/EIN Number | 591793684 |
| Address: | 510 PALMETTO ST., NEW SMYRNA BEACH, FL, 32168 |
| Mail Address: | 510 PALMETTO ST., 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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386731594 | 2006-10-07 | 2014-01-28 | 510 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325, US | 510 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325, US | |||||||||||||||||
|
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| Phone | +1 386-427-5218 |
Authorized person
| Name | DR. THOMAS WOODARD OWNBY JR. |
| Role | PRESIDENT |
| Phone | 3864275218 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME26254 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OWNBY THOMAS W | Agent | 510 PALMETTO ST, NEW SMYRNA BEACH, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| OWNBY THOMAS W | President | 510 PALMETTO ST., NEW SMYRNA BEACH, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| OWNBY THOMAS W | Secretary | 510 PALMETTO ST., NEW SMYRNA BEACH, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| OWNBY THOMAS W | Treasurer | 510 PALMETTO ST., NEW SMYRNA BEACH, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| OWNBY THOMAS W | Director | 510 PALMETTO ST., NEW SMYRNA BEACH, FL, 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2012-02-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
