| Entity Name: | RONALD DOUGLAS LEVY, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Aug 1984 (40 years ago) |
| Document Number: | H17112 |
| FEI/EIN Number | 592445008 |
| Mail Address: | PO BOX 1000, MELBOURNE, FL, 32902-1000, US |
| Address: | 855 Sanderling Drive, Indialantic, FL, 32903, US |
| ZIP code: | 32903 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851442412 | 2007-01-12 | 2020-08-22 | PO BOX 1000, MELBOURNE, FL, 329021000, US | 1350 HICKORY ST, MELBOURNE, FL, 329013278, US | |||||||||||||||||
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| Phone | +1 321-984-2579 |
| Fax | 3219843665 |
| Phone | +1 321-434-7116 |
Authorized person
| Name | RONALD DOUGLAS LEVY |
| Role | PRESIDENT |
| Phone | 3219842579 |
Taxonomy
| Taxonomy Code | 207U00000X - Nuclear Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Levy Ronald DDr. | Agent | 855 Sanderling Drive, Indialantic, FL, 32903 |
| Name | Role | Address |
|---|---|---|
| LEVY RONALD D | Director | 855 SANDERLING DR., INDIALANTIC, FL, 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
