| Entity Name: | MICHEL C. SAMSON, M.D.,F.A.C.S., PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Oct 2014 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Jul 2017 (8 years ago) |
| Document Number: | L14000169659 |
| FEI/EIN Number | 47-2218936 |
| Address: | 3635 CLYDE MORRIS BLVD., STE 400, PORT ORANGE, FL, 32129, US |
| Mail Address: | 3635 CLYDE MORRIS BLVD., STE 400, PORT ORANGE, FL, 32129, US |
| ZIP code: | 32129 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487050365 | 2014-11-05 | 2016-02-02 | 3635 S CLYDE MORRIS BLVD, SUITE 400, PORT ORANGE, FL, 321292300, US | 3635 S CLYDE MORRIS BLVD, SUITE 400, PORT ORANGE, FL, 321292300, US | |||||||||||||||||||
|
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| Phone | +1 386-756-9400 |
| Fax | 3867564338 |
Authorized person
| Name | MS. SUSAN M MURPHY |
| Role | OFFICE MANAGER |
| Phone | 3867569400 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| License Number | ME79062 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Murphy Susan M | Agent | 3635 CLYDE MORRIS BLVD., STE 400, PORT ORANGE, FL, 32129 |
| Name | Role | Address |
|---|---|---|
| Murphy Susan M | Manager | 3635 CLYDE MORRIS BLVD., STE 400, PORT ORANGE, FL, 32129 |
| Name | Role | Address |
|---|---|---|
| Samson Michel CDr. | President | 3635 CLYDE MORRIS BLVD., STE 400, PORT ORANGE, FL, 32129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-16 | 3635 CLYDE MORRIS BLVD., STE 400, PORT ORANGE, FL 32129 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-16 | 3635 CLYDE MORRIS BLVD., STE 400, PORT ORANGE, FL 32129 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-16 | 3635 CLYDE MORRIS BLVD., STE 400, PORT ORANGE, FL 32129 | No data |
| REINSTATEMENT | 2017-07-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-07-24 | Murphy, Susan M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-13 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-01-05 |
| ANNUAL REPORT | 2020-01-09 |
| ANNUAL REPORT | 2019-01-07 |
| ANNUAL REPORT | 2018-01-08 |
| REINSTATEMENT | 2017-07-24 |
| ANNUAL REPORT | 2015-02-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
