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  5. DAVID N. GREENBLUM, M.D., P.A.

DAVID N. GREENBLUM, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: DAVID N. GREENBLUM, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

DAVID N. GREENBLUM, 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: 15 Oct 1984 (40 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: H25757
FEI/EIN Number 592453919

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: % DAVID N. GREENBLUM, M.D., 805 CENTURY MEDICAL DRIVE SUITE C, TITUSVILLE, FL, 32796, US
Mail Address: % DAVID N. GREENBLUM, M.D., 3593 HAMLET PLACE, CHEVY CHASE, MD, 20815, US
ZIP code: 32796
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID N. GREENBLUM, M.D., P.A. PROFIT SHARING PLAN 2012 592453919 2013-07-29 DAVID N. GREENBLUM M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-11-01
Business code 621111
Sponsor’s telephone number 3212697659
Plan sponsor’s address 805 CENTURY MEDICAL DRIVE, TITUSVILLE, FL, 327962100

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing DAVID N. GREENBLUM
Valid signature Filed with authorized/valid electronic signature
DAVID N. GREENBLUM, M.D., P.A. PROFIT SHARING PLAN 2011 592453919 2012-06-30 DAVID N. GREENBLUM M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-11-01
Business code 621111
Sponsor’s telephone number 3212697659
Plan sponsor’s address 805 CENTURY MEDICAL DRIVE, TITUSVILLE, FL, 327962100

Plan administrator’s name and address
Administrator’s EIN 592453919
Plan administrator’s name DAVID N. GREENBLUM M.D., P.A.
Plan administrator’s address 805 CENTURY MEDICAL DRIVE, TITUSVILLE, FL, 327962100
Administrator’s telephone number 3212697659

Signature of
Role Plan administrator
Date 2012-06-30
Name of individual signing DAVID N. GREENBLUM
Valid signature Filed with authorized/valid electronic signature
DAVID N. GREENBLUM, M.D., P.A. PROFIT SHARING PLAN 2010 592453919 2011-09-21 DAVID N. GREENBLUM M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-11-01
Business code 621111
Sponsor’s telephone number 3212697659
Plan sponsor’s address 805 CENTURY MEDICAL DRIVE, TITUSVILLE, FL, 327962100

Plan administrator’s name and address
Administrator’s EIN 592453919
Plan administrator’s name DAVID N. GREENBLUM M.D., P.A.
Plan administrator’s address 805 CENTURY MEDICAL DRIVE, TITUSVILLE, FL, 327962100
Administrator’s telephone number 3212697659

Signature of
Role Plan administrator
Date 2011-09-21
Name of individual signing DAVID N. GREENBLUM
Valid signature Filed with authorized/valid electronic signature
DAVID N. GREENBLUM, M.D., P.A. PROFIT SHARING PLAN 2009 592453919 2010-07-21 DAVID N. GREENBLUM M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-11-01
Business code 621111
Sponsor’s telephone number 3212697659
Plan sponsor’s address 805 CENTURY MEDICAL DRIVE, TITUSVILLE, FL, 327962100

Plan administrator’s name and address
Administrator’s EIN 592453919
Plan administrator’s name DAVID N. GREENBLUM M.D., P.A.
Plan administrator’s address 805 CENTURY MEDICAL DRIVE, TITUSVILLE, FL, 327962100
Administrator’s telephone number 3212697659

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing DAVID N. GREENBLUM
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
GREENBLUM, DAVID N., MD President 3593 HAMLET PLACE, CHEVY CHASE, MD, 20815
GREENBLUM, DAVID N., MD Secretary 3593 HAMLET PLACE, CHEVY CHASE, MD, 20815
GREENBLUM, DAVID N., M.D. Agent 805 CENTURY MEDICAL DR., TITUSVILLE, FL, 32796

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
CHANGE OF MAILING ADDRESS 2014-02-01 % DAVID N. GREENBLUM, M.D., 805 CENTURY MEDICAL DRIVE SUITE C, TITUSVILLE, FL 32796 -
CHANGE OF PRINCIPAL ADDRESS 2010-01-04 % DAVID N. GREENBLUM, M.D., 805 CENTURY MEDICAL DRIVE SUITE C, TITUSVILLE, FL 32796 -
REGISTERED AGENT ADDRESS CHANGED 2008-03-07 805 CENTURY MEDICAL DR., SUITE C, TITUSVILLE, FL 32796 -

Documents

Name Date
ANNUAL REPORT 2014-02-01
ANNUAL REPORT 2013-03-31
ANNUAL REPORT 2012-03-02
ANNUAL REPORT 2011-02-15
ANNUAL REPORT 2010-01-04
ANNUAL REPORT 2009-03-05
ANNUAL REPORT 2008-03-07
ANNUAL REPORT 2007-02-06
ANNUAL REPORT 2006-01-22
ANNUAL REPORT 2005-01-06

Companies related by officers

No other companies in our directory share the same officers as DAVID N. GREENBLUM, M.D., P.A.

Companies related by address

No other companies in our directory share the same address as DAVID N. GREENBLUM, M.D., P.A.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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