Entity Name: | ARNOLD SURGICAL ASSOCIATES, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 16 Aug 2004 (20 years ago) |
Date of dissolution: | 26 Sep 2008 (16 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2008 (16 years ago) |
Document Number: | P04000119201 |
FEI/EIN Number | 20-1485929 |
Address: | 70 W GORE ST, SUITE 200, ORLANDO, FL 32806 |
Mail Address: | 70 W GORE ST, SUITE 202, ORLANDO, FL 32806 |
ZIP code: | 32806 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1225039829 | 2005-08-04 | 2020-08-22 | 70 W GORE ST, STE 202, ORLANDO, FL, 328061124, US | 70 W GORE ST, STE 202, ORLANDO, FL, 328061124, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 407-839-3340 |
Fax | 4072448560 |
Authorized person
Name | DR. DANIEL LOUIS ARNOLD |
Role | OWNER |
Phone | 4078393340 |
Taxonomy
Taxonomy Code | 208600000X - Surgery Physician |
License Number | ME 30499 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | AVMED |
Number | 274751 |
State | FL |
Issuer | BCBS |
Number | 47644 |
State | FL |
Issuer | AETNA |
Number | 4008273 |
State | FL |
Name | Role | Address |
---|---|---|
WEATHERFORD, WILLIAM PJR. | Agent | 1150 LOUISIANA AVENUE, SUITE 4, WINTER PARK, FL 32789 |
Name | Role | Address |
---|---|---|
ARNOLD, DANIEL LM.D. | Director | 70 W GORE ST. SUITE 202, ORLANDO, FL 32806 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
CHANGE OF MAILING ADDRESS | 2007-04-30 | 70 W GORE ST, SUITE 200, ORLANDO, FL 32806 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2005-04-13 | 70 W GORE ST, SUITE 200, ORLANDO, FL 32806 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2007-04-30 |
ANNUAL REPORT | 2006-04-17 |
ANNUAL REPORT | 2005-04-13 |
Domestic Profit | 2004-08-16 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State