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TIMOTHY F. KELLY, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: TIMOTHY F. KELLY, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Oct 1985 (40 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: H79499
FEI/EIN Number 592586941
Address: 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL, 34695, US
Mail Address: 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL, 34695, US
ZIP code: 34695
City: Safety Harbor
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Director -
KELLY, TIMOTHY F., MD Director 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL, 34695
KELLY, TIMOTHY F., MD President 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL, 34695
KELLY, TIMOTHY F., MD Agent 1840 MEASE DRIVE, SAFETY HARBOR, FL, 34695

National Provider Identifier

NPI Number:
1326349200

Authorized Person:

Name:
DR. TIMOTHY F. KELLY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
7277128229

Form 5500 Series

Employer Identification Number (EIN):
592586941
Plan Year:
2016
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
8
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2011-02-15 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL 34695 -
CHANGE OF MAILING ADDRESS 2011-02-15 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL 34695 -
REGISTERED AGENT ADDRESS CHANGED 2011-02-15 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL 34695 -

Documents

Name Date
ANNUAL REPORT 2021-03-23
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-03-07
ANNUAL REPORT 2015-01-06
ANNUAL REPORT 2014-03-19
ANNUAL REPORT 2012-03-21
ANNUAL REPORT 2011-02-15

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Date of last update: 03 Aug 2025

Sources: Florida Department of State