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JOHN A. DIETRICK M.D., P.L.

Company Details

Entity Name: JOHN A. DIETRICK M.D., P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 27 Apr 2005 (20 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: L05000041893
FEI/EIN Number 202754036
Address: 3000 MEDICAL PARK DR., SUITE 330, TAMPA, FL, 33613
Mail Address: 3000 MEDICAL PARK DR., SUITE 330, TAMPA, FL, 33613
ZIP code: 33613
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982889507 2008-01-02 2008-01-02 13801 BRUCE B DOWNS BLVD, SUITE 104, TAMPA, FL, 336133946, US 13801 BRUCE B DOWNS BLVD, SUITE 104, TAMPA, FL, 336133946, US

Contacts

Phone +1 813-971-8883
Fax 8139712491

Authorized person

Name DR. JOHN A DIETRICK III
Role OWNER
Phone 8139718883

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
License Number ME88224
State FL
Is Primary Yes

Agent

Name Role Address
DIETRICK JOHN A Agent 3000 MEDICAL PARK DR., TAMPA, FL, 33613

President

Name Role Address
DIETRICK JOHN A President 3000 MEDICAL PARK DR., TAMPA, FL, 33613

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REINSTATEMENT 2011-01-06 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-04-24 3000 MEDICAL PARK DR., SUITE 330, TAMPA, FL 33613 No data
CHANGE OF MAILING ADDRESS 2009-04-24 3000 MEDICAL PARK DR., SUITE 330, TAMPA, FL 33613 No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-24 3000 MEDICAL PARK DR., SUITE 330, TAMPA, FL 33613 No data

Documents

Name Date
ANNUAL REPORT 2015-04-30
ANNUAL REPORT 2014-04-30
ANNUAL REPORT 2013-04-30
ANNUAL REPORT 2012-05-01
REINSTATEMENT 2011-01-06
ANNUAL REPORT 2009-04-24
ANNUAL REPORT 2008-04-21
ANNUAL REPORT 2007-05-07
ANNUAL REPORT 2006-08-07
Florida Limited Liabilites 2005-04-27

Date of last update: 01 Feb 2025

Sources: Florida Department of State