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JACOB JOSEPH, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: JACOB JOSEPH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 15 Jan 1986 (40 years ago)
Date of dissolution: 23 Sep 2016 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (9 years ago)
Document Number: H94315
FEI/EIN Number 630830168
Address: JACOB JOSEPH, 7024 portmarnock pl, BRADENTON, FL, 34202, US
Mail Address: JACOB JOSEPH, 7024 portmarnock pl, lakewood ranch, FL, 34202, US
ZIP code: 34202
City: Bradenton
County: Manatee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JOSEPH JACOB M Agent JACOB JOSEPH, lakewood ranch, FL, 34202
JOSEPH, JACOB Director JACOB JOSEPH, lakewood ranch, FL, 34202

National Provider Identifier

NPI Number:
1184730962

Authorized Person:

Name:
DR. JACOB JOSEPH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary:
Yes

Contacts:

Fax:
9417474394

Form 5500 Series

Employer Identification Number (EIN):
630830168
Plan Year:
2012
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
5
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2015-04-23 JACOB JOSEPH, 7024 portmarnock pl, BRADENTON, FL 34202 -
REGISTERED AGENT ADDRESS CHANGED 2015-04-23 JACOB JOSEPH, 7024 portmarnock pl, lakewood ranch, FL 34202 -
CHANGE OF MAILING ADDRESS 2013-04-30 JACOB JOSEPH, 7024 portmarnock pl, BRADENTON, FL 34202 -
REINSTATEMENT 2010-07-21 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
REGISTERED AGENT NAME CHANGED 1999-03-04 JOSEPH, JACOB MD -
EVENT CONVERTED TO NOTES 1986-05-06 - -
NAME CHANGE AMENDMENT 1986-04-29 JACOB JOSEPH, M.D., P.A. -

Documents

Name Date
ANNUAL REPORT 2015-04-23
ANNUAL REPORT 2014-01-10
ANNUAL REPORT 2013-04-30
ANNUAL REPORT 2012-03-20
ANNUAL REPORT 2011-04-08
REINSTATEMENT 2010-07-21
ANNUAL REPORT 2008-08-25
ANNUAL REPORT 2007-05-11
ANNUAL REPORT 2006-03-13
ANNUAL REPORT 2005-06-28

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Date of last update: 02 Aug 2025

Sources: Florida Department of State