| Entity Name: | JAMES L. AUTIN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 13 Aug 1986 (38 years ago) |
| Document Number: | J28482 |
| FEI/EIN Number | 59-2740762 |
| Address: | 7100 Lorraine Ct, Port St Lucie, FL 34952 |
| Mail Address: | 7548 S US Hwy 1, Port St Lucie, FL 34952 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922066216 | 2006-05-03 | 2015-01-29 | 10377 S US HIGHWAY 1, STE 101, PORT ST LUCIE, FL, 349525630, US | 10377 S US HIGHWAY 1, STE 101, PORT ST LUCIE, FL, 349525630, US | |||||||||||||||||||
|
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| Phone | +1 772-337-3700 |
| Fax | 7723357820 |
Authorized person
| Name | DR. JAMES L AUTIN |
| Role | OWNER |
| Phone | 7723373700 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| License Number | ME43580 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AUTIN, JAMES LM.D. | Agent | 7100 Lorraine Ct, Port St Lucie, FL 34952 |
| Name | Role | Address |
|---|---|---|
| Reinke, Delores | Administrator | 10377 S US HWY ONE, STE 101 PORT ST.LUCIE, FL 34952 |
| Name | Role | Address |
|---|---|---|
| AUTIN, JAMES L. | Director | 10377 S US HWY ONE STE 101, PORT ST.LUCIE, FL 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-08 | 7100 Lorraine Ct, Port St Lucie, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-08 | 7100 Lorraine Ct, Port St Lucie, FL 34952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-08 | 7100 Lorraine Ct, Port St Lucie, FL 34952 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-02-26 | AUTIN, JAMES LM.D. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-01-22 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
