| Entity Name: | DEBRA HEMSATH, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Jan 2001 (24 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P01000008993 |
| FEI/EIN Number | 593692275 |
| Address: | 8383 SEMINOLE BLVD, SUITE A, SEMINOLE, FL, 33772, US |
| Mail Address: | 8383 SEMINOLE BLVD, SUITE A, SEMINOLE, FL, 33772, US |
| ZIP code: | 33772 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366743866 | 2010-11-15 | 2010-11-15 | 8787 BRYAN DAIRY RD, SUITE 250, LARGO, FL, 337771251, US | 8787 BRYAN DAIRY RD, SUITE 250, LARGO, FL, 337771251, US | |||||||||||||||||||||||||||||
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| Phone | +1 727-581-1121 |
| Fax | 7275857357 |
Authorized person
| Name | DR. DEBRA HEMSATH |
| Role | PRESIDENT |
| Phone | 7275811121 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| License Number | ME50366 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 035364700 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 08609 |
| Name | Role | Address |
|---|---|---|
| HEMSATH DEBRA M | Agent | 8383 SEMINOLE BLVD, SEMINOLE, FL, 33772 |
| Name | Role | Address |
|---|---|---|
| HEMSATH DEBRA M | Secretary | 8383 SEMINOLE BLVD, SEMINOLE, FL, 33772 |
| Name | Role | Address |
|---|---|---|
| HEMSATH DEBRA M | President | 8383 SEMINOLE BLVD, SEMINOLE, FL, 33772 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-17 | 8383 SEMINOLE BLVD, SUITE A, SEMINOLE, FL 33772 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-17 | 8383 SEMINOLE BLVD, SUITE A, SEMINOLE, FL 33772 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-01-17 | HEMSATH, DEBRA MD, PA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-17 | 8383 SEMINOLE BLVD, SUITE A, SEMINOLE, FL 33772 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-03-25 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-03-06 |
| ANNUAL REPORT | 2014-03-25 |
| ANNUAL REPORT | 2013-03-25 |
| ANNUAL REPORT | 2012-01-17 |
| ANNUAL REPORT | 2011-03-14 |
| ANNUAL REPORT | 2010-03-03 |
| ANNUAL REPORT | 2009-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
