| Entity Name: | GLENN A. TOVAR DIAS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Jun 2000 (25 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P00000060994 |
| FEI/EIN Number | 651017823 |
| Address: | 18 TIMBERLAND CIRCLE SOUTH, FORT MYERS, FL, 33919, US |
| Mail Address: | 18 TIMBERLAND CIRCLE SOUTH, FORT MYERS, FL, 33919, US |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730204918 | 2007-03-20 | 2010-06-25 | PO BOX 61570, FORT MYERS, FL, 339061570, US | 14350 METROPOLIS AVE, SUITE 1, FORT MYERS, FL, 339124340, US | |||||||||||||||||||
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| Phone | +1 239-275-3036 |
| Fax | 2392758480 |
Authorized person
| Name | MS. LESLEY M CLARK |
| Role | OFFICE MANAGER |
| Phone | 2392755934 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME78775 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BUTLER GAREY F | Agent | ROETZEL LAW, FORT MYERS, FL, 33901 |
| Name | Role | Address |
|---|---|---|
| TOVAR DIAS GLENN AM.D. | President | 18 TIMBERLAND CIRCLE SOUTH, FORT MYERS, FL, 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-20 | 18 TIMBERLAND CIRCLE SOUTH, FORT MYERS, FL 33919 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-20 | 18 TIMBERLAND CIRCLE SOUTH, FORT MYERS, FL 33919 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-20 | ROETZEL LAW, 2320 First Street, Suite 1000, FORT MYERS, FL 33901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-01-30 |
| ANNUAL REPORT | 2016-02-08 |
| ANNUAL REPORT | 2015-02-08 |
| ANNUAL REPORT | 2014-04-06 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-03-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
