| Entity Name: | HENRY EARL COTMAN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Aug 1981 (44 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Oct 2021 (3 years ago) |
| Document Number: | 697543 |
| FEI/EIN Number | 59-2231805 |
| Address: | % HENRY EARL COTMAN, MD, 6449 38th Avenue North, Suite C-3, ST. PETERSBURG, FL 33710 |
| Mail Address: | % HENRY EARL COTMAN, P.O. BOX 383, ST. PETERSBURG, FL 33731 |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811268253 | 2012-01-17 | 2012-01-17 | PO BOX 383, ST PETERSBURG, FL, 337310383, US | 6449 38TH AVE N, SUITE C-3, ST PETERSBURG, FL, 337101655, US | |||||||||||||||||||||||
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| Phone | +1 727-492-7335 |
Authorized person
| Name | DR. HENRY EARL COTMAN |
| Role | PRESIDENT/OWNER |
| Phone | 7274927335 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| License Number | ME0019800 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0655988 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Cotman, Henry Earl, Dr. | Agent | % HENRY EARL COTMAN, MD, 6449 38th Avenue North, Suite C-3, ST. PETERSBURG, FL 33710 |
| Name | Role | Address |
|---|---|---|
| COTMAN, HENRY EARL | Director | 205 ARANDA STREET N.E., ST PETERSBURG, FL 33704 |
| Name | Role | Address |
|---|---|---|
| COTMAN, HENRY EARL | President | 205 ARANDA STREET N.E., ST PETERSBURG, FL 33704 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000080944 | RADIATION ONCOLOGY CARE | EXPIRED | 2013-08-14 | 2018-12-31 | No data | 6449 38TH AVE. N., SUITE C-3, ST. PETERSBURG, FL, 33710 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-10-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-10-29 | Cotman, Henry Earl, Dr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-24 | % HENRY EARL COTMAN, MD, 6449 38th Avenue North, Suite C-3, ST. PETERSBURG, FL 33710 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-24 | % HENRY EARL COTMAN, MD, 6449 38th Avenue North, Suite C-3, ST. PETERSBURG, FL 33710 | No data |
| REINSTATEMENT | 2007-12-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REINSTATEMENT | 1995-11-03 | No data | No data |
| CHANGE OF MAILING ADDRESS | 1995-11-03 | % HENRY EARL COTMAN, MD, 6449 38th Avenue North, Suite C-3, ST. PETERSBURG, FL 33710 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-15 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-03 |
| REINSTATEMENT | 2021-10-29 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-03-24 |
| ANNUAL REPORT | 2013-04-01 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
