| Entity Name: | ROBERT BRENNER, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 Apr 2004 (21 years ago) |
| Date of dissolution: | 10 Jan 2008 (17 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Jan 2008 (17 years ago) |
| Document Number: | P04000059423 |
| FEI/EIN Number | 20-0967010 |
| Address: | 1217 JACARANDA BLVD, VENICE, FL 34292 |
| Mail Address: | 1217 JACARANDA BLVD, VENICE, FL 34292 |
| ZIP code: | 34292 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639282064 | 2006-08-17 | 2010-07-14 | 8833 ENCLAVE CT, SARASOTA, FL, 342384486, US | 8833 ENCLAVE CT, SARASOTA, FL, 342384486, US | |||||||||||||||||
|
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| Phone | +1 941-922-8084 |
Authorized person
| Name | DR. ROBERT LEONARD BRENNER |
| Role | OWNER |
| Phone | 9419228084 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME87091 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BETTERTON, GREG A | Agent | 981 RIDGEWOOD AVENUE, SUITE 101, VENICE, FL 34285 |
| Name | Role | Address |
|---|---|---|
| BRENNER, ROBERT MD | President | 1217 JACARANDA BLVD, VENICE, FL 34292 UA |
| Name | Role | Address |
|---|---|---|
| BRENNER, ROBERT MD | Vice President | 1217 JACARANDA BLVD, VENICE, FL 34292 UA |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2008-01-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-11 | 1217 JACARANDA BLVD, VENICE, FL 34292 | No data |
| CHANGE OF MAILING ADDRESS | 2007-01-11 | 1217 JACARANDA BLVD, VENICE, FL 34292 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2008-01-10 |
| ANNUAL REPORT | 2007-01-11 |
| ANNUAL REPORT | 2006-02-20 |
| ANNUAL REPORT | 2005-01-13 |
| Domestic Profit | 2004-04-08 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
