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ARNOLD GRAHAM SMITH, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: ARNOLD GRAHAM SMITH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Aug 1984 (41 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 31 Jan 2002 (24 years ago)
Document Number: H15680
FEI/EIN Number 592546427
Address: 8227 Mar Del Plata St, JACKSONVILLE, FL, 32256, US
Mail Address: 8227 Mar Del Plata St, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Arnold Graham Smith, MD, PA Agent 8227 Mar Del Plata St, JACKSONVILLE, FL, 32256
SMITH, ARNOLD GRAHAM Treasurer 8227 Mar Del Plata St, JACKSONVILLE, FL, 32256
GOOSSEN SHANNON P Vice President 8227 Mar Del Plata St, JACKSONVILLE, FL, 32256
SMITH, ARNOLD GRAHAM President 8227 Mar Del Plata St, JACKSONVILLE, FL, 32256
SMITH, ARNOLD GRAHAM Secretary 8227 Mar Del Plata St, JACKSONVILLE, FL, 32256
SMITH, ARNOLD GRAHAM Director 8227 Mar Del Plata St, JACKSONVILLE, FL, 32256

National Provider Identifier

NPI Number:
1386985307

Authorized Person:

Name:
MS. SHANNON GOOSSEN
Role:
ADMIN/VP
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
9043911005

Form 5500 Series

Employer Identification Number (EIN):
592546427
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
5
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-05-02 Arnold Graham Smith, MD, PA -
REGISTERED AGENT ADDRESS CHANGED 2023-05-02 8227 Mar Del Plata St, JACKSONVILLE, FL 32256 -
CHANGE OF PRINCIPAL ADDRESS 2018-05-01 8227 Mar Del Plata St, JACKSONVILLE, FL 32256 -
CHANGE OF MAILING ADDRESS 2018-05-01 8227 Mar Del Plata St, JACKSONVILLE, FL 32256 -
REINSTATEMENT 2002-01-31 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 - -
REINSTATEMENT 1996-10-14 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 - -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-05-02
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-04-29

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Date of last update: 01 Aug 2025

Sources: Florida Department of State