| Entity Name: | MITCHELL SHAW, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Mar 2001 (24 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P01000026857 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 19 BALD EAGLE DRIVE, SUITE B, MARCO ISLAND, FL, 34145 |
| Mail Address: | 19 BALD EAGLE DRIVE, SUITE B, MARCO ISLAND, FL, 34145 |
| ZIP code: | 34145 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326294042 | 2008-08-13 | 2008-10-17 | 19 BALD EAGLE DR, SUITE B, MARCO ISLAND, FL, 341453580, US | 19 BALD EAGLE DR, SUITE B, MARCO ISLAND, FL, 341453580, US | |||||||||||||
|
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| Phone | +1 239-394-4111 |
Authorized person
| Name | DR. MITCHELL J. SHAW |
| Role | ADMINISTRATOR |
| Phone | 2393944111 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAW MITCHELL J | Agent | 19 BALD EAGLE AVENUE SUITE B, MARCO ISLAND, FL, 34145 |
| Name | Role | Address |
|---|---|---|
| SHAW MITCHELL | President | 19 BALD EAGLE DRIVE SUITE B, MARCO ISLAND, FL, 34145 |
| Name | Role | Address |
|---|---|---|
| SHAW MITCHELL | Secretary | 19 BALD EAGLE DRIVE SUITE B, MARCO ISLAND, FL, 34145 |
| Name | Role | Address |
|---|---|---|
| SHAW MITCHELL | Treasurer | 19 BALD EAGLE DRIVE SUITE B, MARCO ISLAND, FL, 34145 |
| Name | Role | Address |
|---|---|---|
| SHAW MITCHELL | Director | 19 BALD EAGLE DRIVE SUITE B, MARCO ISLAND, FL, 34145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2005-02-07 | SHAW, MITCHELL J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-02-07 | 19 BALD EAGLE AVENUE SUITE B, MARCO ISLAND, FL 34145 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-23 |
| ANNUAL REPORT | 2007-01-29 |
| ANNUAL REPORT | 2006-02-27 |
| ANNUAL REPORT | 2005-02-07 |
| ANNUAL REPORT | 2004-03-16 |
| ANNUAL REPORT | 2003-02-10 |
| ANNUAL REPORT | 2002-05-03 |
| Domestic Profit | 2001-03-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
