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FRED L. SIMON, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: FRED L. SIMON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Jun 1981 (44 years ago)
Date of dissolution: 24 Sep 2010 (15 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2010 (15 years ago)
Document Number: 690001
FEI/EIN Number 592099235
Address: 4665 S CONGRESS AVE, SUITE 102, LAKE WORTH, FL, 33461
Mail Address: 4665 S CONGRESS AVE, SUITE 102, LAKE WORTH, FL, 33461
ZIP code: 33461
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SIMON, FRED L MD Director 1883 INDIAN ROAD WEST, W PALM BEACH, FL 00000
SIMON FRED L Agent 1883 INDIAN ROAD WEST, LAKE CLARK SHORES, FL, 33406
SIMON, FRED L MD President 1883 INDIAN ROAD WEST, W PALM BEACH, FL 00000

National Provider Identifier

NPI Number:
1003001488

Authorized Person:

Name:
DR. FRED L SIMON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5616494132

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
CHANGE OF MAILING ADDRESS 2009-07-24 4665 S CONGRESS AVE, SUITE 102, LAKE WORTH, FL 33461 -
CHANGE OF PRINCIPAL ADDRESS 2008-01-24 4665 S CONGRESS AVE, SUITE 102, LAKE WORTH, FL 33461 -
REGISTERED AGENT ADDRESS CHANGED 2007-09-26 1883 INDIAN ROAD WEST, LAKE CLARK SHORES, FL 33406 -

Documents

Name Date
ANNUAL REPORT 2009-07-24
ANNUAL REPORT 2008-01-24
Reg. Agent Change 2007-09-26
ANNUAL REPORT 2007-02-23
ANNUAL REPORT 2006-02-13
ANNUAL REPORT 2005-01-31
ANNUAL REPORT 2004-01-29
ANNUAL REPORT 2003-01-13
ANNUAL REPORT 2002-02-05
ANNUAL REPORT 2001-01-22

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Date of last update: 01 Jul 2025

Sources: Florida Department of State