| Entity Name: | ELIZABETH BABCOCK, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Apr 2003 (22 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 06 Oct 2006 (18 years ago) |
| Document Number: | P03000046211 |
| FEI/EIN Number | 450512074 |
| Address: | 100 SW 75TH ST., STE 103, GAINESVILLE, FL, 32607 |
| Mail Address: | 100 SW 75TH ST., STE 103, GAINESVILLE, FL, 32607 |
| ZIP code: | 32607 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477749422 | 2007-09-23 | 2007-09-23 | 100 SW 75TH ST, SUITE 103, GAINESVILLE, FL, 326075779, US | 100 SW 75TH ST, SUITE 103, GAINESVILLE, FL, 326075779, US | |||||||||||||||||||
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| Phone | +1 352-332-2990 |
| Fax | 3523327503 |
Authorized person
| Name | DR. ELIZABETH ANN BABCOCK |
| Role | OWNER |
| Phone | 3523322990 |
Taxonomy
| Taxonomy Code | 173000000X - Legal Medicine |
| License Number | ME72504 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BABCOCK ELIZABETH | Agent | 4438 SW 105TH DRIVE, GAINESVILLE, FL, 32608 |
| Name | Role | Address |
|---|---|---|
| BABCOCK ELIZABETH | Manager | 4438 SW 105TH DRIVE, GAINESVILLE, FL, 32608 |
| Name | Role | Address |
|---|---|---|
| BABCOCK ELIZABETH | Director | 4438 SW 105TH DRIVE, GAINESVILLE, FL, 32608 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G04006900033 | LASER SMOOTH OF GAINESVILLE | EXPIRED | 2004-01-05 | 2024-12-31 | No data | 100 SW 75TH STREET, STE 103, GAINESVILLE, FL, 32607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CANCEL ADM DISS/REV | 2006-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-02-12 | 100 SW 75TH ST., STE 103, GAINESVILLE, FL 32607 | No data |
| CHANGE OF MAILING ADDRESS | 2004-02-12 | 100 SW 75TH ST., STE 103, GAINESVILLE, FL 32607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
