| Entity Name: | JEFF R. COMER, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 May 1990 (35 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: | L70639 |
| FEI/EIN Number | 65-0191549 |
| Address: | 9738 COMMERCE CENTER CT, FORT MYERS, FL 33908 |
| Mail Address: | 9738 COMMERCE CENTER CT, FORT MYERS, FL 33908 |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760734651 | 2012-10-03 | 2012-10-03 | 9738 COMMERCE CENTER CT, FORT MYERS, FL, 339083670, US | 9738 COMMERCE CENTER CT, FORT MYERS, FL, 339083670, US | |||||||||||||||||||||||||
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| Phone | +1 239-939-7274 |
| Fax | 2399399091 |
Authorized person
| Name | DR. JEFF R COMER |
| Role | PHYSICIAN - OWNER |
| Phone | 2399397274 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| License Number | ME 0038027 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME0038027 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFF R. COMER, M.D., P.A. 401K PROFIT SHARING PLAN AND TRUST | 2009 | 650191549 | 2010-07-26 | JEFF R. COMER, M.D., P.A. | 4 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 650191549 |
| Plan administrator’s name | JEFF R. COMER, M.D., P.A. |
| Plan administrator’s address | 9738 COMMERCE CENTER COURT BLDG 107, FORT MYERS, FL, 33908 |
| Administrator’s telephone number | 2399397274 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-26 |
| Name of individual signing | JEFF R. COMER, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-26 |
| Name of individual signing | JEFF R. COMER, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GREEN, BRUCE D. | Agent | 1380 ROYAL PALM SQ BLVD, FORT MYERS, FL 33919 |
| Name | Role | Address |
|---|---|---|
| COMER, JEFF R. | Director | 109 MONTROSE DR, FORT MYERS, FL 33919 |
| Name | Role | Address |
|---|---|---|
| COMER, JEFF R. | President | 109 MONTROSE DR, FORT MYERS, FL 33919 |
| Name | Role | Address |
|---|---|---|
| COMER, JEFF R. | Secretary | 109 MONTROSE DR, FORT MYERS, FL 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-17 | 1380 ROYAL PALM SQ BLVD, FORT MYERS, FL 33919 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-03-21 | 9738 COMMERCE CENTER CT, FORT MYERS, FL 33908 | No data |
| CHANGE OF MAILING ADDRESS | 2005-03-21 | 9738 COMMERCE CENTER CT, FORT MYERS, FL 33908 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-24 |
| ANNUAL REPORT | 2014-02-07 |
| ANNUAL REPORT | 2013-02-12 |
| ANNUAL REPORT | 2012-03-01 |
| ANNUAL REPORT | 2011-01-20 |
| ANNUAL REPORT | 2010-01-20 |
| ANNUAL REPORT | 2009-02-24 |
| ANNUAL REPORT | 2008-01-22 |
| ANNUAL REPORT | 2007-01-17 |
| ANNUAL REPORT | 2006-02-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
