| Entity Name: | MORRIS MEDICAL CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Aug 2000 (24 years ago) |
| Document Number: | P00000082242 |
| FEI/EIN Number | 651037841 |
| Address: | 6800 PORTO FINO CIRCLE, FORT MYERS, FL, 33912, US |
| Mail Address: | 6800 PORTO FINO CIRCLE, FORT MYERS, FL, 33912, US |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528148673 | 2006-10-16 | 2016-10-14 | 6800 PORTO FINO CIR, FORT MYERS, FL, 339127137, US | 6800 PORTO FINO CIR, FORT MYERS, FL, 339127137, US | |||||||||||||||||||
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| Phone | +1 239-418-0775 |
| Fax | 2394180630 |
Authorized person
| Name | DARELD RAY MORRIS II |
| Role | PRESIDENT/PHYSICIAN |
| Phone | 2394180775 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS6547 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MORRIS DARELD R | Agent | 6800 Porto Fino Circle, FT MYERS, FL, 33912 |
| Name | Role | Address |
|---|---|---|
| MORRIS DARELD R | President | 6800 Porto Fino Circle, FT MYERS, FL, 33912 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000053150 | FT. MYERS SPINE AND JOINT CENTER | EXPIRED | 2016-05-27 | 2021-12-31 | No data | 6800 PORTO FINO CIRCLE, FT. MYERS, FL, 33912 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2015-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REINSTATEMENT | 2011-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CANCEL ADM DISS/REV | 2007-01-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| REINSTATEMENT | 2003-10-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
