| Entity Name: | ROBERT P. FEDOR, D.O. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ROBERT P. FEDOR, D.O. P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 21 Jul 1982 (43 years ago) |
| Date of dissolution: | 26 Jan 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Jan 2022 (3 years ago) |
| Document Number: | F91623 |
| FEI/EIN Number |
592202414
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1811 Shore Drive South, South Pasadena, FL, 33707, US |
| Mail Address: | 1811 shore drive south, Florida, FL, 33707, US |
| ZIP code: | 33707 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073633665 | 2007-03-29 | 2018-06-20 | 1811 SHORE DR S, SOUTH PASADENA, FL, 337074701, US | 1811 SHORE DR S, SOUTH PASADENA, FL, 337074701, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-391-4100 |
| Fax | 7273982067 |
Authorized person
| Name | EHREN CARINE |
| Role | DO |
| Phone | 7273914100 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS ID # DR. BACON |
| Number | 14H46 |
| State | FL |
| Issuer | BCBS GROUP # |
| Number | 002CM |
| State | FL |
| Issuer | BCBS ID # DR. CARINE |
| Number | 3TQES |
| State | FL |
| Issuer | BCBS PROVIDER # |
| Number | 82398 |
| State | FL |
| Issuer | MEDICAL LICENSE |
| Number | OS12209 |
| State | FL |
| Issuer | MEDICAL LICENSE |
| Number | OS10824 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| carine ehren T | President | 1811 Shore Drive South, S. Pasadena, FL, 33707 |
| carine ehren | Agent | 1811 Shore Drive South, South Pasadena, FL, 33707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-26 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-04 | 1811 Shore Drive South, South Pasadena, FL 33707 | - |
| REGISTERED AGENT NAME CHANGED | 2019-02-04 | carine, ehren | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-16 | 1811 Shore Drive South, South Pasadena, FL 33707 | - |
| CHANGE OF MAILING ADDRESS | 2018-04-16 | 1811 Shore Drive South, South Pasadena, FL 33707 | - |
| CANCEL ADM DISS/REV | 2008-12-01 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | - | - |
| CANCEL ADM DISS/REV | 2006-10-05 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-26 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-10 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-02-04 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
