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PHILIP L. SHETTLE, D.O., P.A.

Company Details

Entity Name: PHILIP L. SHETTLE, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 31 Dec 1973 (51 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: 604896
FEI/EIN Number 59-1503667
Address: 670 N. CLEARWATER-LARGO RD., SUITE A, LARGO, FL 33770
Mail Address: 670 N. CLEARWATER-LARGO RD., SUITE A, LARGO, FL 33770
ZIP code: 33770
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649356775 2006-10-31 2020-08-22 670 N. CLEARWATER - LARGO ROAD, LARGO, FL, 337702377, US 670 N. CLEARWATER - LARGO ROAD, LARGO, FL, 337702377, US

Contacts

Phone +1 727-581-8755
Fax 7275818756

Authorized person

Name PHILIP L. SHETTLE
Role OWNER
Phone 7275818755

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

Agent

Name Role Address
SHETTLE, PHILIP LD.O. Agent 670 N. CLEARWATER-LARGO ROAD, SUITE A, LARGO, FL 33770

President

Name Role Address
SHETTLE, PHILIP LD.O.PA President 670 N. CLEARWATER LARGO RD, LARGO, FL 33770

Vice President

Name Role Address
SHETTLE, SUZANNE G Vice President 670 N. CLEARWATER-LARGO RD, LARGO, FL 33770

Treasurer

Name Role Address
SHETTLE, SUZANNE G Treasurer 670 N. CLEARWATER-LARGO RD, LARGO, FL 33770

Secretary

Name Role Address
SHETTLE, SUZANNE G Secretary 670 N. CLEARWATER-LARGO RD, LARGO, FL 33770

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000105433 SHETTLE EYE CENTER EXPIRED 2011-10-28 2016-12-31 No data 670 N. CLEARWATER-LARGO ROAD, LARGO, FL, 33770-2377

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REGISTERED AGENT ADDRESS CHANGED 2009-03-13 670 N. CLEARWATER-LARGO ROAD, SUITE A, LARGO, FL 33770 No data
CHANGE OF MAILING ADDRESS 1998-04-13 670 N. CLEARWATER-LARGO RD., SUITE A, LARGO, FL 33770 No data
CHANGE OF PRINCIPAL ADDRESS 1997-12-11 670 N. CLEARWATER-LARGO RD., SUITE A, LARGO, FL 33770 No data
REGISTERED AGENT NAME CHANGED 1997-12-11 SHETTLE, PHILIP LD.O. No data

Documents

Name Date
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-15
ANNUAL REPORT 2018-01-26
ANNUAL REPORT 2017-02-11
ANNUAL REPORT 2016-02-13
ANNUAL REPORT 2015-01-18
ANNUAL REPORT 2014-01-30
ANNUAL REPORT 2013-03-02
ANNUAL REPORT 2012-01-15
ANNUAL REPORT 2011-01-07

Date of last update: 06 Feb 2025

Sources: Florida Department of State