Search icon

ROBERT D. SIMON, M.D., P.A. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: ROBERT D. SIMON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 06 Apr 2001 (24 years ago)
Date of dissolution: 27 Apr 2017 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 27 Apr 2017 (8 years ago)
Document Number: P01000035358
FEI/EIN Number 651096794
Address: 701 NORTHLAKE BLVD., NORTH PALM BEACH, FL, 33408, US
Mail Address: 701 NORTHLAKE BLVD., Suite 201, NORTH PALM BEACH, FL, 33408, US
ZIP code: 33408
City: North Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SIMON ROBERT D President 701 NORTHLAKE BLVD., NORTH PALM BEACH, FL, 33408
SIMON ROBERT D Agent 701 NORTHLAKE BLVD., NORTH PALM BEACH, FL, 33408

National Provider Identifier

NPI Number:
1275665010

Authorized Person:

Name:
DR. ROBERT DANIEL SIMON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5618478030

Form 5500 Series

Employer Identification Number (EIN):
651096794
Plan Year:
2015
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
22
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2017-04-27 - -
CHANGE OF PRINCIPAL ADDRESS 2014-04-15 701 NORTHLAKE BLVD., Suite 201, NORTH PALM BEACH, FL 33408 -
CHANGE OF MAILING ADDRESS 2014-04-15 701 NORTHLAKE BLVD., Suite 201, NORTH PALM BEACH, FL 33408 -
REGISTERED AGENT ADDRESS CHANGED 2014-04-15 701 NORTHLAKE BLVD., Suite 201, NORTH PALM BEACH, FL 33408 -
CANCEL ADM DISS/REV 2010-01-25 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
REGISTERED AGENT NAME CHANGED 2006-02-03 SIMON, ROBERT DPRES -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J10000914835 LAPSED 1000000184962 PALM BEACH 2010-08-19 2020-09-15 $ 971.90 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105

Documents

Name Date
ANNUAL REPORT 2016-03-22
ANNUAL REPORT 2015-02-09
ANNUAL REPORT 2014-04-15
ANNUAL REPORT 2013-01-14
ANNUAL REPORT 2012-04-27
ANNUAL REPORT 2011-04-29
REINSTATEMENT 2010-01-25
ANNUAL REPORT 2008-02-29
ANNUAL REPORT 2007-02-07
ANNUAL REPORT 2006-02-03

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 03 Aug 2025

Sources: Florida Department of State