| Entity Name: | THOMAS J. DERBES, M.D., L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
THOMAS J. DERBES, M.D., L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 08 Mar 2016 (9 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | L16000053127 |
| FEI/EIN Number |
81-1867768
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2202 STATE AVE, STE 108, Panama City, FL, 32405, US |
| Mail Address: | 2202 STATE AVE, STE 108, Panama City, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033573720 | 2016-04-08 | 2016-04-08 | 100 DOCTORS DR, SUITE B, PANAMA CITY, FL, 324057608, US | 100 DOCTORS DR, SUITE B, PANAMA CITY, FL, 324057608, US | |||||||||||||||||||||||||||
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| Phone | +1 850-872-1300 |
| Fax | 8508729420 |
| Fax | 8508721300 |
Authorized person
| Name | MRS. BRENDA BURNS |
| Role | ADM |
| Phone | 8508721300 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME48177 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 26046 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DERBES THOMAS JM.D. | Manager | 2202 STATE AVE, Panama City, FL, 32405 |
| DERBES THOMAS JM.D. | Agent | 2202 STATE AVE, Panama City, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-21 | 2202 STATE AVE, STE 108, Panama City, FL 32405 | - |
| CHANGE OF MAILING ADDRESS | 2021-04-21 | 2202 STATE AVE, STE 108, Panama City, FL 32405 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-21 | 2202 STATE AVE, STE 108, Panama City, FL 32405 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-27 |
| Florida Limited Liability | 2016-03-08 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
