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R. DAVID SHEPARD, M.D.,P.A. - Florida Company Profile

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Company Details

Entity Name: R. DAVID SHEPARD, M.D.,P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 19 Sep 2002 (23 years ago)
Date of dissolution: 25 Sep 2015 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (10 years ago)
Document Number: P02000101390
FEI/EIN Number 460496781
Address: 4224 N TAMPANIA AVE, TAMPA, FL, 33607
Mail Address: 4224 N TAMPANIA AVE, TAMPA, FL, 33607
ZIP code: 33607
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHEPARD R. DAVID Director 4224 N. TAMPANIA AVE,, TAMPA, FL, 33607
SHEPARD R. DAVID Agent 4224 N TAMPANIA AVE, TAMPA, FL, 33607

National Provider Identifier

NPI Number:
1346436409

Authorized Person:

Name:
DR. R DAVID SHEPARD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
8138765090

Form 5500 Series

Employer Identification Number (EIN):
460496781
Plan Year:
2015
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
5
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2005-02-15 4224 N TAMPANIA AVE, TAMPA, FL 33607 -
CHANGE OF MAILING ADDRESS 2005-02-15 4224 N TAMPANIA AVE, TAMPA, FL 33607 -
REGISTERED AGENT ADDRESS CHANGED 2005-02-15 4224 N TAMPANIA AVE, TAMPA, FL 33607 -

Documents

Name Date
ANNUAL REPORT 2014-01-27
ANNUAL REPORT 2013-01-28
ANNUAL REPORT 2012-01-25
ANNUAL REPORT 2011-01-14
ANNUAL REPORT 2010-01-06
ANNUAL REPORT 2009-01-06
ANNUAL REPORT 2008-01-24
ANNUAL REPORT 2007-01-16
ANNUAL REPORT 2006-02-27
ANNUAL REPORT 2005-02-15

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Date of last update: 01 Aug 2025

Sources: Florida Department of State