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STEVE BLICBLUM, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: STEVE BLICBLUM, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

STEVE BLICBLUM, M.D., 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: 28 Apr 1983 (42 years ago)
Date of dissolution: 23 Sep 2011 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (13 years ago)
Document Number: G36323
FEI/EIN Number 592279326

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 122 HOLLY TREE LANE, BRANDON, FL, 33511
Mail Address: PO BOX 852, BRANDON, FL, 33511-5861
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467525303 2006-11-16 2020-08-22 PO BOX 852, BRANDON, FL, 335090852, US 900 GRIFFIN RD, LAKELAND, FL, 338052442, US

Contacts

Phone +1 813-685-5459
Fax 8136815403
Phone +1 863-686-1711

Authorized person

Name MRS. ILLENE BLICBLUM
Role GROUP ADMINISTRATOR
Phone 8136855459

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STEVE BLICBLUM, M.D., P.A. PROFIT SHARING PLAN 2009 592279326 2010-09-30 STEVE BLICBLUM, M.D., P.A. 20
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8136510201
Plan sponsor’s address P. O. BOX 852, BRANDON, FL, 33509

Plan administrator’s name and address

Administrator’s EIN 592279326
Plan administrator’s name STEVE BLICBLUM, M.D., P.A.
Plan administrator’s address P. O. BOX 852, BRANDON, FL, 33509
Administrator’s telephone number 8136510201

Signature of

Role Plan administrator
Date 2010-09-29
Name of individual signing STEVE BLICBLUM
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BLICBLUM STEVE Director 122 HOLLY TREE LANE, BRANDON, FL, 33511
BLICBLUM ILLENE Agent 122 HOLLY TREE LANE, BRANDON, FL, 33511

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -
REGISTERED AGENT NAME CHANGED 2010-01-11 BLICBLUM, ILLENE -
CHANGE OF PRINCIPAL ADDRESS 2009-04-14 122 HOLLY TREE LANE, BRANDON, FL 33511 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-14 122 HOLLY TREE LANE, BRANDON, FL 33511 -
CHANGE OF MAILING ADDRESS 2000-05-24 122 HOLLY TREE LANE, BRANDON, FL 33511 -
REINSTATEMENT 1991-03-08 - -
INVOLUNTARILY DISSOLVED 1989-10-13 - -

Documents

Name Date
ANNUAL REPORT 2010-01-11
ANNUAL REPORT 2009-04-14
ANNUAL REPORT 2008-03-18
ANNUAL REPORT 2007-05-08
ANNUAL REPORT 2006-03-06
ANNUAL REPORT 2005-02-28
ANNUAL REPORT 2004-01-30
ANNUAL REPORT 2003-02-10
ANNUAL REPORT 2002-02-26
ANNUAL REPORT 2001-05-15

Date of last update: 01 Mar 2025

Sources: Florida Department of State