| Entity Name: | GEORGE A. DAVIS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
GEORGE A. DAVIS, 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: | 10 Mar 1986 (39 years ago) |
| Date of dissolution: | 28 Sep 2018 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (7 years ago) |
| Document Number: | J03315 |
| FEI/EIN Number |
592647800
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 800 ZEAGLER DR, SUITE 120, PALATKA, FL, 32177 |
| Mail Address: | 800 ZEAGLER DR, SUITE 120, PALATKA, FL, 32177 |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689931727 | 2012-04-13 | 2012-04-19 | 800 ZEAGLER DR, SUITE 120, PALATKA, FL, 321773827, US | 800 ZEAGLER DR, SUITE 120, PALATKA, FL, 321773827, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 386-328-8369 |
| Fax | 3863288006 |
Authorized person
| Name | DR. GEORGE A DAVIS |
| Role | OWNER |
| Phone | 3863288369 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | ME0043912 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RR MEDICARE |
| Number | 180002441 |
| Issuer | AETNA |
| Number | 7143688 |
| Issuer | MEDICAID |
| Number | 064445500 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GEORGE A. DAVIS, M.D., P.A. PROFIT SHARING PLAN | 2009 | 592647800 | 2010-07-14 | GEORGE A. DAVIS, M.D., P.A. | 4 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 592647800 |
| Plan administrator’s name | GEORGE A. DAVIS, M.D., P.A. |
| Plan administrator’s address | 800 ZEAGLER DRIVE, SUITE 120, PALATKA, FL, 321773827 |
| Administrator’s telephone number | 3863288369 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-14 |
| Name of individual signing | GEORGE DAVIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DAVIS GEORGE A | President | 800 ZEAGLER DR, PALATKA, FL |
| DAVIS SHERRY A | Agent | 800 ZEAGLER DR, PALATKA, FL, 32177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 1994-03-31 | 800 ZEAGLER DR, STE 120, PALATKA, FL 32177 | - |
| CHANGE OF PRINCIPAL ADDRESS | 1991-02-19 | 800 ZEAGLER DR, SUITE 120, PALATKA, FL 32177 | - |
| CHANGE OF MAILING ADDRESS | 1991-02-19 | 800 ZEAGLER DR, SUITE 120, PALATKA, FL 32177 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-10 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-02-01 |
| ANNUAL REPORT | 2011-01-12 |
| ANNUAL REPORT | 2010-01-05 |
| ANNUAL REPORT | 2009-01-05 |
| ANNUAL REPORT | 2008-01-15 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
