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PAUL A. MANCUSO, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: PAUL A. MANCUSO, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 30 Jun 2004 (21 years ago)
Date of dissolution: 09 Feb 2011 (15 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 09 Feb 2011 (15 years ago)
Document Number: P04000099211
FEI/EIN Number 201313659
Address: 615 E PRINCETON STREET, SUITE #510, ORLANDO, FL, 32803
Mail Address: P.O. BOX 677128, ORLANDO, FL, 32817-0094
ZIP code: 32803
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MANCUSO PAUL A Manager P.O. BOX 677128, ORLANDO, FL, 328170094
MANCUSO PAUL A Director P.O. BOX 677128, ORLANDO, FL, 328170094
MANCUSO PAUL A Agent 615 E PRINCETON STREET, ORLANDO, FL, 32803

National Provider Identifier

NPI Number:
1225164833

Authorized Person:

Name:
PAUL A MANCUSO
Role:
SURGEON
Phone:

Taxonomy:

Selected Taxonomy:
173000000X - Legal Medicine
Is Primary:
Yes

Contacts:

Fax:
4078973700

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2011-02-09 - -
CHANGE OF PRINCIPAL ADDRESS 2009-01-15 615 E PRINCETON STREET, SUITE #510, ORLANDO, FL 32803 -
REGISTERED AGENT ADDRESS CHANGED 2009-01-15 615 E PRINCETON STREET, SUITE #510, ORLANDO, FL 32803 -

Documents

Name Date
Voluntary Dissolution 2011-02-09
ANNUAL REPORT 2010-03-06
ANNUAL REPORT 2009-01-15
ANNUAL REPORT 2008-04-17
ANNUAL REPORT 2007-04-10
ANNUAL REPORT 2006-04-27
ANNUAL REPORT 2005-06-30
Domestic Profit 2004-06-30

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Date of last update: 01 Aug 2025

Sources: Florida Department of State