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QUINTIN O. LAW, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: QUINTIN O. LAW, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 27 Apr 2000 (25 years ago)
Date of dissolution: 04 Feb 2022 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 04 Feb 2022 (4 years ago)
Document Number: P00000042524
FEI/EIN Number 593641177
Address: 2569 GULF BREEZE PKWY, GULF BREEZE, FL, 32563, US
Mail Address: 208 NAVARRE ST, GULF BREEZE, FL, 32561, US
ZIP code: 32563
City: Gulf Breeze
County: Santa Rosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LAW QUINTIN O Director 85 BAYBRIDGE DR, GULF BREEZE, FL, 32561
LAW QUINTIN ODr. OM 85 BAYBRIDGE DR, GULF BREEZE, FL, 32561
LAW QUINTIN O Agent 208 NAVARRE ST, GULF BREEZE, FL, 32561

National Provider Identifier

NPI Number:
1831379965

Authorized Person:

Name:
DR. QUINTIN LAW
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8509328697

Form 5500 Series

Employer Identification Number (EIN):
593641177
Plan Year:
2018
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
0
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08170900341 EXECUTIVE MEDICAL SERVICE EXPIRED 2008-06-18 2013-12-31 - 85 BAYBRIDGE DRIVE, GULF BREEZE, FL, 32561

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-02-04 - -
CHANGE OF PRINCIPAL ADDRESS 2021-03-26 2569 GULF BREEZE PKWY, GULF BREEZE, FL 32563 -
CHANGE OF MAILING ADDRESS 2020-04-23 2569 GULF BREEZE PKWY, GULF BREEZE, FL 32563 -
REGISTERED AGENT ADDRESS CHANGED 2020-04-23 208 NAVARRE ST, GULF BREEZE, FL 32561 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-02-04
ANNUAL REPORT 2021-03-26
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-08-13
ANNUAL REPORT 2018-01-25
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-02-24
ANNUAL REPORT 2014-04-19
ANNUAL REPORT 2013-01-31

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Date of last update: 02 Aug 2025

Sources: Florida Department of State