| Entity Name: | CYPRESS ORTHOPEDICS AND SPORTS MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Dec 2000 (24 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P00000112656 |
| FEI/EIN Number | 593686180 |
| Address: | 1925 Don Wickham Drive, CLERMONT, FL, 34711, US |
| Mail Address: | 1925 Don Wickham Drive, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497725659 | 2006-01-23 | 2010-07-06 | 2113 RUBY RED BLVD, SUITE A, CLERMONT, FL, 347146105, US | 2113 RUBY RED BLVD, SUITE A, CLERMONT, FL, 347146105, US | |||||||||||||||||||||||||
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| Phone | +1 352-243-7411 |
| Fax | 3523944257 |
Authorized person
| Name | PAUL A. DOWDY |
| Role | PRESIDENT |
| Phone | 3522437411 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 267546300 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | DA3460 |
| Name | Role | Address |
|---|---|---|
| DOWDY PAUL A | Agent | 1925 Don Wickham Drive, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| DOWDY PAUL A | Director | 1925 Don Wickham Drive, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| DOWDY PAUL A | President | 1925 Don Wickham Drive, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-02 | 1925 Don Wickham Drive, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-02 | 1925 Don Wickham Drive, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-02 | 1925 Don Wickham Drive, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-03-25 | DOWDY, PAUL A | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-02 |
| ANNUAL REPORT | 2012-02-22 |
| ANNUAL REPORT | 2011-02-14 |
| ANNUAL REPORT | 2010-03-19 |
| ANNUAL REPORT | 2009-04-17 |
| ANNUAL REPORT | 2008-03-25 |
| ANNUAL REPORT | 2007-04-26 |
| ANNUAL REPORT | 2006-04-05 |
| ANNUAL REPORT | 2005-04-18 |
| ANNUAL REPORT | 2004-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
