| Entity Name: | MICHAEL E. CROWE, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Jan 2002 (23 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P02000003147 |
| FEI/EIN Number | 030376736 |
| Address: | 4530 PEBBLE BEACH DR, SEBRING, FL, 33872 |
| Mail Address: | 4530 PEBBLE BEACH DR, SEBRING, FL, 33872 |
| ZIP code: | 33872 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477835122 | 2011-09-19 | 2011-09-19 | 4511 SUN N LAKE BLVD, 108, SEBRING, FL, 338722169, US | 4511 SUN N LAKE BLVD, 108, SEBRING, FL, 338722169, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 863-471-9330 |
| Fax | 8634719335 |
Authorized person
| Name | DR. MICHAEL E CROWE |
| Role | PRESIDENT |
| Phone | 8634719330 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS6308 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 370913200 |
| State | FL |
| Issuer | BLUE CROSS/BLUE SHEILD |
| Number | 80692B |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CROWE MICHAEL E | Agent | 4530 PEBBLE BEACH DR, SEBRING, FL, 33872 |
| Name | Role | Address |
|---|---|---|
| CROWE MICHAEL E | Director | 4530 PEBBLE BEACH DR, SEBRING, FL, 33872 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-08 | 4530 PEBBLE BEACH DR, SEBRING, FL 33872 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-08 | 4530 PEBBLE BEACH DR, SEBRING, FL 33872 | No data |
| CHANGE OF MAILING ADDRESS | 2012-03-08 | 4530 PEBBLE BEACH DR, SEBRING, FL 33872 | No data |
| REINSTATEMENT | 2010-11-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2007-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| AMENDMENT | 2005-06-21 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000700552 | TERMINATED | 1000000378983 | HIGHLANDS | 2012-10-15 | 2032-10-17 | $ 379.66 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LAKELAND SERVICE CENTER, 115 S MISSOURI AVE STE 202, LAKELAND FL338154644 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-03-08 |
| ANNUAL REPORT | 2011-04-13 |
| REINSTATEMENT | 2010-11-03 |
| ANNUAL REPORT | 2009-03-02 |
| ANNUAL REPORT | 2008-03-18 |
| REINSTATEMENT | 2007-10-07 |
| ANNUAL REPORT | 2006-01-16 |
| Amendment | 2005-06-21 |
| ANNUAL REPORT | 2005-06-16 |
| ANNUAL REPORT | 2005-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
