| Entity Name: | CAROLIESE SCHMIDT MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Jun 2004 (21 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P04000093031 |
| FEI/EIN Number | 201253410 |
| Address: | 858 Loggerhead Island Drive, Satellite Beach, FL, 32937, US |
| Mail Address: | 858 LOGGERHEAD ISLAND DRIVE, SATELLITE BEACH, FL, 32937 |
| ZIP code: | 32937 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427176411 | 2007-03-27 | 2014-04-09 | 1275 S PATRICK DR, SUITE H, SATELLITE BEACH, FL, 329373963, US | 1275 S PATRICK DR, SUITE H, SATELLITE BEACH, FL, 329373963, US | |||||||||||||||||||
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| Phone | +1 321-777-0600 |
| Fax | 3217770601 |
Authorized person
| Name | CAROLIESE SCHMIDT |
| Role | PHYSICIAN AND OWNER |
| Phone | 3217770600 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME54009 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Schmidt Caroliese Dr. | Agent | 858 LOGGERHEAD ISLAND DRIVE, SATELLITE BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| SCHMIDT CAROLIESE | President | 858 LOGGERHEAD ISLAND DRIVE, SATELLITE BEACH, FL, 32937 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-26 | Schmidt, Caroliese, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-13 | 858 Loggerhead Island Drive, Satellite Beach, FL 32937 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-05-13 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-03-31 |
| ANNUAL REPORT | 2017-03-23 |
| ANNUAL REPORT | 2016-03-19 |
| ANNUAL REPORT | 2015-04-20 |
| ANNUAL REPORT | 2014-03-17 |
| ANNUAL REPORT | 2013-03-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
