| Entity Name: | CONRAD R. JACOBS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Jan 1973 (52 years ago) |
| Date of dissolution: | 25 Aug 1995 (29 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Aug 1995 (29 years ago) |
| Document Number: | 604106 |
| FEI/EIN Number | 59-1456373 |
| Address: | 32320 PONDEROSA AVE., DELAND, FL 32720 |
| Mail Address: | P. O. BOX 757, DELAND, FL 32721-0757 |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| JACOBS, CONRAD R., M.D. | Agent | 4420 SHERIDAN ST., 32320 PONDEROSA AVE., DELAND, FL 32720 |
| Name | Role | Address |
|---|---|---|
| JACOBS, CONRAD R. M.D. | President | 32320 PONDEROSA AVE., DELAND, FL |
| Name | Role | Address |
|---|---|---|
| JACOBS, CONRAD R. M.D. | Secretary | 32320 PONDEROSA AVE., DELAND, FL |
| Name | Role | Address |
|---|---|---|
| JACOBS, CONRAD R. M.D. | Director | 32320 PONDEROSA AVE., DELAND, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1994-04-08 | 32320 PONDEROSA AVE., DELAND, FL 32720 | No data |
| CHANGE OF MAILING ADDRESS | 1994-04-08 | 32320 PONDEROSA AVE., DELAND, FL 32720 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1994-04-08 | 4420 SHERIDAN ST., 32320 PONDEROSA AVE., DELAND, FL 32720 | No data |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
