| Entity Name: | TINA M. LAM, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Jan 2003 (22 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P03000013232 |
| FEI/EIN Number | 161652562 |
| Address: | 7003 NW 11TH PLACE, 4, GAINESVILLE, FL, 32605 |
| Mail Address: | 7003 NW 11TH PLACE, 4, GAINESVILLE, FL, 32605 |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235339748 | 2007-07-23 | 2011-03-09 | 7003 NW 11TH PLACE, SUITE 4, GAINESVILLE, FL, 326053176, US | 7003 NW 11TH PL, SUITE 4, GAINESVILLE, FL, 326053176, US | |||||||||||||||
|
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| Phone | +1 352-331-2010 |
| Fax | 3523312050 |
Authorized person
| Name | TINA M LAM |
| Role | PRESIDENT |
| Phone | 3523312010 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAM TINA M | Agent | 4717 SW 103RD TERRACE, GAINESVILLE, FL, 32608 |
| Name | Role | Address |
|---|---|---|
| LAM TINA M | Director | 4717 SW 103RD TERRACE, GAINESVILLE, FL, 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-09-26 | LAM, TINA M | No data |
| REINSTATEMENT | 2018-09-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2011-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-06-03 | 7003 NW 11TH PLACE, 4, GAINESVILLE, FL 32605 | No data |
| CHANGE OF MAILING ADDRESS | 2007-06-03 | 7003 NW 11TH PLACE, 4, GAINESVILLE, FL 32605 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2018-09-26 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-03-21 |
| ANNUAL REPORT | 2012-02-09 |
| REINSTATEMENT | 2011-10-05 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-01-05 |
| ANNUAL REPORT | 2008-01-03 |
| ANNUAL REPORT | 2007-06-03 |
| ANNUAL REPORT | 2006-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
