| Entity Name: | MARK X. NORLEANS, MD, PHD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Feb 2003 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Feb 2012 (13 years ago) |
| Document Number: | P03000016201 |
| FEI/EIN Number | 421574886 |
| Address: | 9730 COMMERCE CENTER COURT, FORT MYERS, FL, 33908, US |
| Mail Address: | 9730 COMMERCE CENTER COURT, FORT MYERS, FL, 33908, US |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487717062 | 2006-12-18 | 2012-09-26 | 9730 COMMERCE CENTER COURT, FORT MYERS, FL, 339083615, US | 9730 COMMERCE CENTER COURT, FORT MYERS, FL, 339083615, US | |||||||||||||||||||||||||||
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| Phone | +1 239-482-5003 |
| Fax | 2399890166 |
Authorized person
| Name | MARK X. NORLEANS |
| Role | PRESIDENT |
| Phone | 2394825003 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | ME86281 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | P00017745 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NORLEANS MARK X | Agent | 9730 COMMERCE CENTER COURT, FORT MYERS, FL, 33908 |
| Name | Role | Address |
|---|---|---|
| NORLEANS MARK X | President | 9730 COMMERCE CENTER COURT, FORT MYERS, FL, 33908 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000045415 | MEDICAL CANNABIS CLINIC OF SOUTHWEST FLORIDA | EXPIRED | 2017-04-25 | 2022-12-31 | No data | 9730 COMMERCE CENTER COURT, FORT MYERS, FL, 33908 |
| G16000046064 | ADDICTION CARE OF EXCELLENCE | ACTIVE | 2016-05-05 | 2026-12-31 | No data | 9730 COMMERCE CENTER COURT, FORT MYERS, FL, 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2012-02-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-24 | 9730 COMMERCE CENTER COURT, FORT MYERS, FL 33908 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-10 | 9730 COMMERCE CENTER COURT, FORT MYERS, FL 33908 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-01-10 | 9730 COMMERCE CENTER COURT, FORT MYERS, FL 33908 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
