| Entity Name: | PREMIER CARDIO PULMONARY MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 10 Dec 2001 (23 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P01000116805 |
| FEI/EIN Number | 59-3760958 |
| Address: | 2194 MAIN ST, SUITE I, DUNEDIN, FL 34698 |
| Mail Address: | 2194 MAIN ST, SUITE I, DUNEDIN, FL 34698 |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134181860 | 2006-04-06 | 2008-10-27 | PO BOX 16264, CLEARWATER, FL, 337666264, US | 2194 MAIN ST, SUITE I, DUNEDIN, FL, 346985696, US | |||||||||||||||||||||||||||
|
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| Phone | +1 727-287-2784 |
| Fax | 7276699260 |
Authorized person
| Name | KIMBERLY A JOHNS |
| Role | PRESIDENT |
| Phone | 7272872784 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | CJ6542 |
| State | FL |
| Issuer | BCBS |
| Number | X1565 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNS, KIMBERLY A | Agent | 115 DEERPATH DR, OLDSMAR, FL 34677 |
| Name | Role | Address |
|---|---|---|
| JOHNS, KIMBERLY A | President | 115 DEERPATH DR, OLDSMAR, FL 34677 |
| Name | Role | Address |
|---|---|---|
| JOHNS, KIMBERLY A | Director | 115 DEERPATH DR, OLDSMAR, FL 34677 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000119679 | PRECISION CARDIO PULMONARY | EXPIRED | 2009-06-14 | 2014-12-31 | No data | P.O. BOX 16267, CLEARWATER, FL, 33766 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-04 | 2194 MAIN ST, SUITE I, DUNEDIN, FL 34698 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-04 | 2194 MAIN ST, SUITE I, DUNEDIN, FL 34698 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-03-28 | 115 DEERPATH DR, OLDSMAR, FL 34677 | No data |
| REGISTERED AGENT NAME CHANGED | 2002-05-01 | JOHNS, KIMBERLY A | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J09002147303 | LAPSED | 09-1568-CI | PINELLAS CIRCUIT COURT CVL DIV | 2009-08-12 | 2014-09-18 | $238,369.80 | AIRSEP CORPORATION, 401 CREEKSIDE DRIVE, BUFFALO, NY 14228 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-15 |
| ANNUAL REPORT | 2009-04-04 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-17 |
| ANNUAL REPORT | 2006-03-28 |
| ANNUAL REPORT | 2005-01-28 |
| ANNUAL REPORT | 2004-01-07 |
| ANNUAL REPORT | 2003-04-28 |
| ANNUAL REPORT | 2002-05-01 |
| Domestic Profit | 2001-12-10 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
