| Entity Name: | S. ANTHONY WOLFE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 03 Jun 1980 (45 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | 662998 |
| FEI/EIN Number | 59-2002310 |
| Address: | 3100 SW 62ND AVENUE, SUITE 2230, MIAMI, FL 33155 |
| Mail Address: | P.O. BOX 558267, MIAMI, FL 33255 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770874737 | 2011-04-26 | 2011-04-26 | PO BOX 558267, MIAMI, FL, 332558267, US | 3100 SW 62ND AVE, SUITE 2230, MIAMI, FL, 331553009, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-662-4111 |
| Fax | 3056625800 |
Authorized person
| Name | S ANTHONY WOLFE |
| Role | MEDICAL DOCTOR |
| Phone | 3056624111 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME18683 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 055617300 |
| State | FL |
| Issuer | AVMED |
| Number | 103876 |
| State | FL |
| Issuer | AETNA |
| Number | 4608053 |
| State | FL |
| Issuer | CIGNA HEALTH PLANS |
| Number | 0151094-001 |
| State | FL |
| Issuer | AMERIGROUP |
| Number | 210923 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WOLFE, S. ANTHONY MD | Agent | 3100 SW 62ND AVE, 2230, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| WOLFE, S ANTHONY MD | Director | 3100 SW 62ND AVE SUITE 2230, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| WOLFE, S ANTHONY MD | President | 3100 SW 62ND AVE SUITE 2230, MIAMI, FL 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-24 | 3100 SW 62ND AVENUE, SUITE 2230, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-20 | 3100 SW 62ND AVENUE, SUITE 2230, MIAMI, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-20 | 3100 SW 62ND AVE, 2230, MIAMI, FL 33155 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-06-01 | WOLFE, S. ANTHONY MD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-02-25 |
| ANNUAL REPORT | 2014-03-26 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
