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GEORGE M. NORTHRUP, M.D., P.A.

Company Details

Entity Name: GEORGE M. NORTHRUP, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Feb 2003 (22 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 03 Jun 2013 (12 years ago)
Document Number: P03000019408
FEI/EIN Number 043740622
Address: 5100 W. Kennedy Blvd, TAMPA, FL, 33609, US
Mail Address: 5100 W. Kennedy Blvd., TAMPA, FL, 33609, US
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477742799 2007-10-23 2023-11-01 5100 W KENNEDY BLVD STE 160, TAMPA, FL, 336091817, US 5100 W KENNEDY BLVD STE 160, TAMPA, FL, 336091817, US

Contacts

Phone +1 813-350-9500
Fax 8133509544

Authorized person

Name GEORGE M NORTHRUP
Role OWNER
Phone 8133509500

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME82344
State FL
Is Primary Yes

Agent

Name Role Address
NORTHRUP GEORGE M Agent 5100 W. Kennedy Blvd., TAMPA, FL, 33609

Director

Name Role Address
NORTHRUP GEORGE M Director 5100 W. Kennedy Blvd., TAMPA, FL, 33609

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-18 5100 W. Kennedy Blvd, 160, TAMPA, FL 33609 No data
CHANGE OF MAILING ADDRESS 2023-01-18 5100 W. Kennedy Blvd, 160, TAMPA, FL 33609 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-18 5100 W. Kennedy Blvd., 160, TAMPA, FL 33609 No data
REINSTATEMENT 2013-06-03 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-05-07
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-02-14
ANNUAL REPORT 2021-01-25
ANNUAL REPORT 2020-02-20
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-09

Date of last update: 02 Feb 2025

Sources: Florida Department of State