| Entity Name: | F. SCOTT PERRINO, M.D., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 21 Dec 1999 (25 years ago) |
| Date of dissolution: | 28 Jan 2020 (5 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 28 Jan 2020 (5 years ago) |
| Document Number: | F99000006579 |
| FEI/EIN Number | 621801976 |
| Address: | 6301 Memorial Highway Suite 204, TAMPA, FL, 33615, US |
| Mail Address: | 6301 Memorial Highway Suite 204, TAMPA, FL, 33615, US |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164501359 | 2006-11-06 | 2009-02-23 | PO BOX 260801, TAMPA, FL, 336850801, US | 6101 WEBB RD, STE 204, TAMPA, FL, 336152872, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 813-884-2825 |
| Fax | 8138843901 |
Authorized person
| Name | DR. FRANK SCOTT PERRINO |
| Role | OWNER PHYSICIAN |
| Phone | 8138842825 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME64885 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| License Number | ME64885 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 251569500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PERRINO F. SCOTT M | Agent | 6301 Memorial Highway Suite 204, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| PERRINO F. SCOTT | President | 6301 Memorial Highway Suite 204, TAMPA, FL, 33615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2020-01-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-29 | 6301 Memorial Highway Suite 204, TAMPA, FL 33615 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-30 | 6301 Memorial Highway Suite 204, TAMPA, FL 33615 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-30 | 6301 Memorial Highway Suite 204, TAMPA, FL 33615 | No data |
| CANCEL ADM DISS/REV | 2005-10-05 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| REINSTATEMENT | 2003-01-17 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2003-01-17 | PERRINO, F. SCOTT MD | No data |
| REVOKED FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
| NAME CHANGE AMENDMENT | 2001-06-26 | F. SCOTT PERRINO, M.D., INC. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000311336 | ACTIVE | 1000000891883 | HILLSBOROU | 2021-06-15 | 2041-06-23 | $ 880.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LARGO SERVICE CENTER, 11351 ULMERTON RD STE 220, LARGO FL337781629 |
| J18000168344 | TERMINATED | 1000000779863 | HILLSBOROU | 2018-04-17 | 2028-04-25 | $ 196.53 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E ML KING BLVD STE 100, TAMPA FL336191166 |
| J18000138263 | ACTIVE | 1000000777540 | HILLSBOROU | 2018-03-28 | 2028-04-04 | $ 3,371.22 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E ML KING BLVD STE 100, TAMPA FL336191166 |
| J16000267363 | TERMINATED | 1000000710909 | HILLSBOROU | 2016-04-16 | 2026-04-20 | $ 1,788.08 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J15000826665 | TERMINATED | 1000000689361 | HILLSBOROU | 2015-07-31 | 2025-08-05 | $ 2,081.01 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J14001177665 | ACTIVE | 1000000645002 | HILLSBOROU | 2014-10-23 | 2034-12-17 | $ 2,633.35 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J14001177673 | TERMINATED | 1000000645003 | HILLSBOROU | 2014-10-23 | 2024-12-17 | $ 2,178.44 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J14000099407 | TERMINATED | 1000000574292 | HILLSBOROU | 2014-01-08 | 2024-01-15 | $ 1,622.58 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J13000147729 | TERMINATED | 1000000442357 | HILLSBOROU | 2012-12-28 | 2033-01-16 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J13000147737 | TERMINATED | 1000000442358 | HILLSBOROU | 2012-12-28 | 2023-01-16 | $ 1,159.76 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| WITHDRAWAL | 2020-01-28 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
