| Entity Name: | KEITH A. BRADY M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 17 Aug 1988 (36 years ago) |
| Date of dissolution: | 24 Dec 1990 (34 years ago) |
| Last Event: | MERGER |
| Event Date Filed: | 24 Dec 1990 (34 years ago) |
| Document Number: | M94583 |
| FEI/EIN Number | 59-2317139 |
| Address: | 700 SIXTH STREET SOUTH, ST. PETERSBURG, FL 33701 |
| Mail Address: | 700 SIXTH STREET SOUTH, ST. PETERSBURG, FL 33701 |
| ZIP code: | 33701 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124396775 | 2011-12-12 | 2011-12-12 | 1099 5TH AVE N, 150, ST PETERSBURG, FL, 337051469, US | 1099 5TH AVE N, 150, ST PETERSBURG, FL, 337051469, US | |||||||||||||||||||
|
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| Phone | +1 727-820-7900 |
| Fax | 7278207901 |
Authorized person
| Name | JEANETTE FLORES |
| Role | BILLER |
| Phone | 7278207992 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME37799 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRADY, KEITH A. | Agent | 700 SIXTH STREET SOUTH, ST. PETERSBURG, FL 33701 |
| Name | Role | Address |
|---|---|---|
| BRADY, KEITH A. | Director | 700 6TH ST. SOUTH, ST. PETERSBURG, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 1990-12-24 | No data | MERGING INTO: 193984 |
| REINSTATEMENT | 1990-12-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1990-11-09 | No data | No data |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
