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DAVID IKUDAYISI M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: DAVID IKUDAYISI M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 Feb 2004 (22 years ago)
Date of dissolution: 23 Sep 2016 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (9 years ago)
Document Number: P04000024717
FEI/EIN Number 562428555
Address: 8019 N. HIMES AVENUE, TAMPA, FL, 33614, US
Mail Address: 8019 N. HIMES AVENUE, TAMPA, FL, 33614, US
ZIP code: 33614
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
IKUDAYISI DAVID O President 8019 N. HIMES AVENUE, TAMPA, FL, 33614
WALKER GARY E Agent 202 S. ROME AVENUE - SUITE 100, TAMPA, FL, 33606

National Provider Identifier

NPI Number:
1801892963

Authorized Person:

Name:
MR. DAVID OMOTAYO IKUDAYISI
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
8139355178

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2013-03-19 8019 N. HIMES AVENUE, SUITE 200, TAMPA, FL 33614 -
CHANGE OF MAILING ADDRESS 2013-03-19 8019 N. HIMES AVENUE, SUITE 200, TAMPA, FL 33614 -
REGISTERED AGENT NAME CHANGED 2010-11-12 WALKER, GARY ESQUIRE -
REGISTERED AGENT ADDRESS CHANGED 2010-11-12 202 S. ROME AVENUE - SUITE 100, TAMPA, FL 33606 -
NAME CHANGE AMENDMENT 2004-02-25 DAVID IKUDAYISI M.D., P.A. -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J10000382173 LAPSED 09-19285 HILLSBOROUGH CIRCUIT 2010-01-04 2015-03-05 $50,161.00 SOVEREIGN BANK, 3 HUNTINGTON QUADRANGLE, SUITE 101N, MELVILLE, NY 11747-4616

Documents

Name Date
ANNUAL REPORT 2015-04-13
ANNUAL REPORT 2014-02-27
ANNUAL REPORT 2013-03-19
ANNUAL REPORT 2012-02-26
ANNUAL REPORT 2011-03-15
Reg. Agent Change 2010-11-12
ANNUAL REPORT 2010-02-26
ANNUAL REPORT 2009-03-09
ANNUAL REPORT 2008-03-06
ANNUAL REPORT 2007-02-03

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Date of last update: 03 Aug 2025

Sources: Florida Department of State