| Entity Name: | R. STEVEN WHITE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Aug 1985 (39 years ago) |
| Document Number: | M20062 |
| FEI/EIN Number | 592562222 |
| Address: | 601 N CLYDE MORRIS BLVD, STE.A, DAYTONA BEACH, FL, 32114 |
| Mail Address: | 601 N CLYDE MORRIS BLVD, STE A, DAYTONA BEACH, FL, 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811289903 | 2011-05-06 | 2011-05-06 | 601 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 321142321, US | 601 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 321142321, US | |||||||||||||||||||
|
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| Phone | +1 386-252-3985 |
| Fax | 3862575221 |
Authorized person
| Name | DR. ROBERT STEVEN WHITE |
| Role | PHYSICIAN |
| Phone | 3862523985 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | ME44206 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WHITE R. STEVEN | Agent | 601 N CLYDE MORRIS BLVD., DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| WHITE, R. STEVEN | Director | 601 N CLYDE MORRIS BLVD., DAYTONA BEACH, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| WHITE, R. STEVEN | President | 601 N CLYDE MORRIS BLVD., DAYTONA BEACH, FL, 32114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
