| Entity Name: | ROBERT L. R. WESLY, M.D., PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ROBERT L. R. WESLY, M.D., PH.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 Aug 2001 (24 years ago) |
| Date of dissolution: | 15 Sep 2006 (19 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 15 Sep 2006 (19 years ago) |
| Document Number: | P01000078726 |
| FEI/EIN Number |
593737807
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6510 NW 9TH AVENUE, SUITE 4, GAINESVILLE, FL, 32605, US |
| Mail Address: | 6718 SW 100TH LANE, GAINESVILLE, FL, 32608, US |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1043407851 | 2007-09-26 | 2008-12-31 | 2251 NW 41ST ST, SUITE E, GAINESVILLE, FL, 326067498, US | 2251 NW 41ST ST, SUITE E, GAINESVILLE, FL, 326067498, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-377-6010 |
| Fax | 3523710039 |
Authorized person
| Name | DR. ROBERT L WESLY |
| Role | PRESIDENT/OWNER |
| Phone | 3523776010 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | ME44335 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2086X0206X - Surgical Oncology Physician |
| License Number | ME44335 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | ME44335 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | TRI-CARE |
| Number | 060066125 |
| State | FL |
| Issuer | AVMED |
| Number | 206847 |
| State | FL |
| Issuer | BC-BS |
| Number | 01375 |
| State | FL |
| Issuer | MEDICAID |
| Number | 068801100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WESLY ROBERT L. R | President | 6718 SW 100TH LANE, GAINESVILLE, FL, 32608 |
| WESLY ROBERT L. R | Owner | 6718 SW 100TH LANE, GAINESVILLE, FL, 32608 |
| WESLY ROBERT L. R | Agent | 6718 SW 100TH LANE, GAINESVILLE, FL, 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | - | - |
| CANCEL ADM DISS/REV | 2005-08-11 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-08-11 | 6510 NW 9TH AVENUE, SUITE 4, GAINESVILLE, FL 32605 | - |
| CHANGE OF MAILING ADDRESS | 2005-08-11 | 6510 NW 9TH AVENUE, SUITE 4, GAINESVILLE, FL 32605 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2002-09-11 | 6718 SW 100TH LANE, GAINESVILLE, FL 32608 | - |
| REGISTERED AGENT NAME CHANGED | 2002-09-11 | WESLY, ROBERT L. RMD | - |
| Name | Date |
|---|---|
| REINSTATEMENT | 2005-08-11 |
| ANNUAL REPORT | 2003-09-09 |
| ANNUAL REPORT | 2002-09-11 |
| Domestic Profit | 2001-08-06 |
Date of last update: 02 May 2025
Sources: Florida Department of State
