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EDDIE A. NEGRON, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: EDDIE A. NEGRON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 05 Apr 2001 (24 years ago)
Date of dissolution: 29 Oct 2020 (5 years ago)
Last Event: VOLUNTARY DISS W/ NOTICE
Event Date Filed: 29 Oct 2020 (5 years ago)
Document Number: P01000034674
FEI/EIN Number 593711212
Address: 921 MARWALT DR., FT. WALTON BEACH, FL, 32547
Mail Address: 921 MARWALT DR., FT. WALTON BEACH, FL, 32547, US
ZIP code: 32547
City: Fort Walton Beach
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NEGRON EDDIE A Director 921 MARWALT DR., FT. WALTON BEACH, FL, 32547
NEGRON JASON E Agent 33 LAKE LORRAINE CR., SHALIMAR, FL, 32579

National Provider Identifier

NPI Number:
1588796635

Authorized Person:

Name:
DR. EDDIE ALBERTO NEGRON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8508641716

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2020-10-29 - -
CHANGE OF MAILING ADDRESS 2018-04-12 921 MARWALT DR., FT. WALTON BEACH, FL 32547 -
REGISTERED AGENT ADDRESS CHANGED 2018-04-12 33 LAKE LORRAINE CR., SHALIMAR, FL 32579 -
CHANGE OF PRINCIPAL ADDRESS 2007-04-03 921 MARWALT DR., FT. WALTON BEACH, FL 32547 -
REGISTERED AGENT NAME CHANGED 2005-04-13 NEGRON, JASON E -

Documents

Name Date
CORAPVDWN 2020-10-29
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-04-12
ANNUAL REPORT 2017-04-11
ANNUAL REPORT 2016-04-18
ANNUAL REPORT 2015-04-24
ANNUAL REPORT 2014-03-21
ANNUAL REPORT 2013-04-15
ANNUAL REPORT 2012-03-19

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Date of last update: 02 Aug 2025

Sources: Florida Department of State