| Entity Name: | KENNETH APPAH SAMPONG, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Sep 2002 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Oct 2007 (17 years ago) |
| Document Number: | P02000102883 |
| FEI/EIN Number | 04-3726148 |
| Address: | 709 PHYSICIAN COURT, LEESBURG, FL 34748 |
| Mail Address: | 709 PHYSICIAN COURT, LEESBURG, FL 34748 |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073674404 | 2006-12-12 | 2013-02-18 | 709 PHYSICIANS CT, LEESBURG, FL, 347487357, US | 709 PHYSICIANS CT, LEESBURG, FL, 347487357, US | |||||||||||||||||||
|
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| Phone | +1 352-728-5116 |
| Fax | 3527285928 |
Authorized person
| Name | DR. KENNETH APPAH SAMPONG |
| Role | PRESIDENT |
| Phone | 3527285116 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Sampong, Kenneth A | Agent | 709 PHYSICIAN COURT, LEESBURG, FL 34748 |
| Name | Role | Address |
|---|---|---|
| SAMPONG, KENNETH A | President | 974 CHERRY BRANCH COURT, HEATHROW, FL 32746 |
| Name | Role | Address |
|---|---|---|
| SAMPONG, KENNETH A | Secretary | 974 CHERRY BRANCH COURT, HEATHROW, FL 32746 |
| Name | Role | Address |
|---|---|---|
| SAMPONG, KENNETH A | Director | 974 CHERRY BRANCH COURT, HEATHROW, FL 32746 |
| Name | Role | Address |
|---|---|---|
| SAMPONG, KENNETH A | Treasurer | 974 CHERRY BRANCH COURT, HEATHROW, FL 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-03-01 | Sampong, Kenneth A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-01 | 709 PHYSICIAN COURT, LEESBURG, FL 34748 | No data |
| REINSTATEMENT | 2007-10-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-10-10 | 709 PHYSICIAN COURT, LEESBURG, FL 34748 | No data |
| CHANGE OF MAILING ADDRESS | 2007-10-10 | 709 PHYSICIAN COURT, LEESBURG, FL 34748 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-04-13 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-03-29 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-06-09 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
