| Entity Name: | NAPLES UROLOGY ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Feb 2004 (21 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P04000021318 |
| FEI/EIN Number | 200678803 |
| Address: | 1132 GOODLETTE ROAD, NAPLES, FL, 34102, US |
| Mail Address: | 1132 GOODLETTE ROAD, NAPLES, FL, 34102, US |
| ZIP code: | 34102 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760594865 | 2006-08-31 | 2020-08-22 | 1132 GOODLETTE RD N, NAPLES, FL, 341025451, US | 1132 GOODLETTE RD N, NAPLES, FL, 341025451, US | |||||||||||||||||||
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| Phone | +1 239-434-8565 |
| Fax | 2394348569 |
Authorized person
| Name | DR. DAVID M SPELLBERG |
| Role | PHYSICIAN/OWNER |
| Phone | 2394348565 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME59339 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NAPLES UROLOGY ASSOCIATES, P.A. | 2010 | 200678803 | 2010-08-07 | NAPLES UROLOGY ASSOCIATES, P.A. | 14 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 200678803 |
| Plan administrator’s name | NAPLES UROLOGY ASSOCIATES, P.A. |
| Plan administrator’s address | COLONIAL SQUARE OFFICE PARK, NAPLES, FL, 34102 |
| Administrator’s telephone number | 2394348565 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-07 |
| Name of individual signing | DAVID SPELLBERG |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2394348565 |
| Plan sponsor’s address | 1132 GOODLETTE ROAD, NAPLES, FL, 34102 |
Plan administrator’s name and address
| Administrator’s EIN | 200678803 |
| Plan administrator’s name | NAPLES UROLOGY ASSOCIATES, P.A. |
| Plan administrator’s address | 1132 GOODLETTE ROAD, NAPLES, FL, 34102 |
| Administrator’s telephone number | 2394348565 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-07 |
| Name of individual signing | DAVID SPELLBERG |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SPELLBERG DAVID | Agent | 1132 GOODLETTE ROAD, NAPLES, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| SPELLBERG DAVID M | Director | 1132 GOODLETTE ROAD, NAPLES, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| SPELLBERG DAVID M | President | 1132 GOODLETTE ROAD, NAPLES, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| SPELLBERG DAVID M | Secretary | 1132 GOODLETTE ROAD, NAPLES, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| SPELLBERG DAVID M | Treasurer | 1132 GOODLETTE ROAD, NAPLES, FL, 34102 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2005-03-12 | SPELLBERG, DAVID | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-03-12 | 1132 GOODLETTE ROAD, NAPLES, FL 34102 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-01-14 | 1132 GOODLETTE ROAD, NAPLES, FL 34102 | No data |
| CHANGE OF MAILING ADDRESS | 2005-01-14 | 1132 GOODLETTE ROAD, NAPLES, FL 34102 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-05-01 |
| ANNUAL REPORT | 2014-02-05 |
| ANNUAL REPORT | 2013-04-03 |
| ANNUAL REPORT | 2012-09-10 |
| ANNUAL REPORT | 2011-01-30 |
| ANNUAL REPORT | 2010-02-28 |
| ANNUAL REPORT | 2009-02-22 |
| ANNUAL REPORT | 2008-04-06 |
| ANNUAL REPORT | 2007-04-29 |
| ANNUAL REPORT | 2006-03-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
