| Entity Name: | FLORIDA OBESITY SURGICAL ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 May 2003 (22 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P03000051833 |
| FEI/EIN Number | 57-1170679 |
| Address: | 37840 MEDICAL ARTS CT., ZEPHYRHILLS, FL 33541-4325 |
| Mail Address: | 37840 MEDICAL ARTS CT., ZEPHYRHILLS, FL 33541-4325 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689636755 | 2006-04-04 | 2020-08-22 | 37840 MEDICAL ARTS CT, ZEPHYRHILLS, FL, 335414325, US | 37840 MEDICAL ARTS CT, ZEPHYRHILLS, FL, 335414325, US | |||||||||||||||
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| Phone | +1 813-788-5569 |
| Fax | 8137828628 |
Authorized person
| Name | DR. LEE J GROSSBARD |
| Role | PRESIDENT |
| Phone | 8137885569 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MURPHY, DAVID JESQ. | Agent | 14217 THIRD ST., DADE CITY, FL 33523 |
| Name | Role | Address |
|---|---|---|
| KRISHNARAJ, PANDURANGAN M.D. | Secretary | 37840 MEDICAL ARTS COURT, ZEPHYRHILLS, FL 33541-4325 |
| Name | Role | Address |
|---|---|---|
| DICICCO, RICHARD LM.D. | Treasurer | 37840 MEDICAL ARTS COURT, ZEPHYRHILLS, FL 33541-4325 |
| Name | Role | Address |
|---|---|---|
| GROSSBARD, LEE JM.D. | President | 37840 MEDICAL ARTS CT., ZEPHYRHILLS, FL 33541-4325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-25 |
| ANNUAL REPORT | 2010-01-18 |
| ANNUAL REPORT | 2009-02-06 |
| ANNUAL REPORT | 2008-02-12 |
| ANNUAL REPORT | 2007-04-23 |
| ANNUAL REPORT | 2007-02-27 |
| ANNUAL REPORT | 2006-03-17 |
| ANNUAL REPORT | 2005-02-28 |
| ANNUAL REPORT | 2004-07-29 |
| Domestic Profit | 2003-05-02 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
