| Entity Name: | BRIAN J. INGLERIGHT, D.O., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 23 Jan 2006 (19 years ago) |
| Date of dissolution: | 19 Jun 2020 (5 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 19 Jun 2020 (5 years ago) |
| Document Number: | F06000000517 |
| FEI/EIN Number |
352200613
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5575 GULF BLVD, #338, ST PETE BEACH, FL, 33706, US |
| Mail Address: | 5575 GULF BLVD, #338, ST PETE BEACH, FL, 33706, US |
| ZIP code: | 33706 |
| County: | Pinellas |
| Place of Formation: | OHIO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770671216 | 2006-10-10 | 2008-10-21 | 14540 CORTEZ BLVD, SUITE 104, BROOKSVILLE, FL, 346136056, US | 14540 CORTEZ BLVD, SUITE 104, BROOKSVILLE, FL, 346136056, US | |||||||||||||||||||||||||
|
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| Phone | +1 352-592-1243 |
| Fax | 3525921246 |
Authorized person
| Name | DR. BRIAN J INGLERIGHT |
| Role | PRESIDENT |
| Phone | 3525921243 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS6103 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 274813400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| INGLERIGHT BRIAN J | President | 5575 Gulf Blvd, St Pete Beach, FL, 33706 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000052044 | ST. PETE TATTOO REMOVAL | EXPIRED | 2014-05-29 | 2019-12-31 | - | 5575 GULF BLVD #338, ST PETE BEACH, FL, 33706 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2020-06-19 | - | - |
| REGISTERED AGENT CHANGED | 2020-06-19 | REGISTERED AGENT REVOKED | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-25 | 5575 GULF BLVD, #338, ST PETE BEACH, FL 33706 | - |
| CHANGE OF MAILING ADDRESS | 2014-02-25 | 5575 GULF BLVD, #338, ST PETE BEACH, FL 33706 | - |
| Name | Date |
|---|---|
| Withdrawal | 2020-06-19 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-01-13 |
| ANNUAL REPORT | 2014-02-25 |
| ANNUAL REPORT | 2013-01-07 |
| ANNUAL REPORT | 2012-01-09 |
| ANNUAL REPORT | 2011-01-04 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
