Entity Name: | WILLIAM P. KAUFMAN, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 21 Jun 1989 (36 years ago) |
Document Number: | K97095 |
FEI/EIN Number | 592955919 |
Address: | 1616 RIGGINS ROAD, TALLAHASSEE, FL, 32308 |
Mail Address: | 1616 RIGGINS ROAD, TALLAHASSEE, FL, 32308 |
ZIP code: | 32308 |
County: | Leon |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326393109 | 2012-07-18 | 2012-07-18 | 1616 RIGGINS RD, TALLAHASSEE, FL, 323085316, US | 1616 RIGGINS RD, TALLAHASSEE, FL, 323085316, US | |||||||||||||||||||
|
Phone | +1 850-656-8911 |
Fax | 8508781824 |
Authorized person
Name | DR. WILLIAM P, KAUFMAN |
Role | PRESIDENT |
Phone | 8506568911 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | ME 30695 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KAUFMAN, WILLIAM P., M.D. | Agent | 1616 RIGGINS ROAD, TALLAHASSEE, FL, 32308 |
Name | Role | Address |
---|---|---|
KAUFMAN WILLIAM P | President | 1616 RIGGINS ROAD, TALLAHASSEE, FL, 32308 |
Name | Role | Address |
---|---|---|
KAUFMAN WILLIAM P | Treasurer | 1616 RIGGINS ROAD, TALLAHASSEE, FL, 32308 |
Name | Role | Address |
---|---|---|
KAUFMAN WILLIAM P | Secretary | 1616 RIGGINS ROAD, TALLAHASSEE, FL, 32308 |
Name | Role | Address |
---|---|---|
KAUFMAN WILLIAM P | Chairman | 1616 RIGGINS ROAD, TALLAHASSEE, FL, 32308 |
Name | Role | Address |
---|---|---|
KAUFMAN WILLIAM P | Director | 1616 RIGGINS ROAD, TALLAHASSEE, FL, 32308 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2014-06-27 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State