Search icon

RUSSELL M. GRAHAM, M.D., P.A. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: RUSSELL M. GRAHAM, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 Jun 2002 (23 years ago)
Date of dissolution: 16 Sep 2005 (20 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 16 Sep 2005 (20 years ago)
Document Number: P02000061740
FEI/EIN Number 043681203
Address: 225 S. WESTMONTE DR., #2000, ALTAMONTE SPRINGS, FL, 32714, US
Mail Address: 225 S. WESTMONTE DR., #2000, ALTAMONTE SPRINGS, FL, 32714, US
ZIP code: 32714
City: Altamonte Springs
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GRAHAM RUSSELL M President 225 S. WESTMONTE DR., #2000, ALTAMONTE SPRINGS, FL, 32714
GRAHAM RUSSELL M Agent 225 S. WESTMONTE DR. #2000, ALTAMONTE SPRINGS, FL, 32714

National Provider Identifier

NPI Number:
1205941119

Authorized Person:

Name:
RUSSELL M GRAHAM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4077744911

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -
CHANGE OF PRINCIPAL ADDRESS 2004-04-26 225 S. WESTMONTE DR., #2000, ALTAMONTE SPRINGS, FL 32714 -
CHANGE OF MAILING ADDRESS 2004-04-26 225 S. WESTMONTE DR., #2000, ALTAMONTE SPRINGS, FL 32714 -
REGISTERED AGENT ADDRESS CHANGED 2004-04-26 225 S. WESTMONTE DR. #2000, ALTAMONTE SPRINGS, FL 32714 -

Documents

Name Date
ANNUAL REPORT 2004-04-26
ANNUAL REPORT 2003-04-25
Domestic Profit 2002-06-04

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Aug 2025

Sources: Florida Department of State