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MICHAEL T. MCCORMICK & ASSOCIATES, P.A. - Florida Company Profile

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Company Details

Entity Name: MICHAEL T. MCCORMICK & ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Jan 2004 (22 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 05 Oct 2006 (19 years ago)
Document Number: P04000004100
FEI/EIN Number 593774669
Address: 115 SHAMROCK BOULEVARD, VENICE, FL, 34293
Mail Address: 3801 Wake Forest Rd, #100, Raleigh, NC, 27609, US
ZIP code: 34293
City: Venice
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
LAIRD ROY C Director 115 SHAMROCK BOULEVARD, VENICE, FL, 34293
Forfar Christopher Chief Financial Officer 3801 Wake Forest Rd, Raleigh, NC, 27609
Knepp Adam Chief Executive Officer 3801 Wake Forest Rd, Raleigh, NC, 27609

National Provider Identifier

NPI Number:
1982418190
Certification Date:
2025-05-29

Authorized Person:

Name:
ROY CLINT LAIRD
Role:
OWNER AND CEO
Phone:

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No
Selected Taxonomy:
213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
9416246157

Form 5500 Series

Employer Identification Number (EIN):
593774669
Plan Year:
2013
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
0
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
12
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G07296900329 ENGLEWOOD FOOT, ANKLE & VEIN CLINIC ACTIVE 2007-10-23 2027-12-31 - 2001 S. MCCALL RD., ENGLEWOOD, FL, 34223
G07296900336 VENICE FOOT, ANKLE & VEIN CLINIC ACTIVE 2007-10-23 2027-12-31 - 115 SHAMROCK BLVD., VENICE, FL, 34293

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-03-12 115 SHAMROCK BOULEVARD, VENICE, FL 34293 -
REGISTERED AGENT NAME CHANGED 2023-08-23 Vcorp Agent Services, Inc. -
REGISTERED AGENT ADDRESS CHANGED 2023-08-23 1200 South Pine Island Road, Plantation, FL 33324 -
CANCEL ADM DISS/REV 2006-10-05 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -

Documents

Name Date
ANNUAL REPORT 2024-03-12
AMENDED ANNUAL REPORT 2023-08-23
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-03-14
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-04-07
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-26

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Date of last update: 01 Aug 2025

Sources: Florida Department of State