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ERIC M. GABRIEL, M.D., P.A.

Company Details

Entity Name: ERIC M. GABRIEL, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Feb 2005 (20 years ago)
Date of dissolution: 14 Sep 2007 (17 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 14 Sep 2007 (17 years ago)
Document Number: P05000029545
FEI/EIN Number 202440173
Address: 6510 NW 9TH BLVD., SUITE 1, GAINESVILLE, FL, 32605
Mail Address: 6510 NW 9TH BLVD., SUITE 1, GAINESVILLE, FL, 32605
ZIP code: 32605
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083660054 2006-05-25 2020-08-22 1801 BARRS ST, SUITE 120, JACKSONVILLE, FL, 322044732, US 1801 BARRS ST, SUITE 120, JACKSONVILLE, FL, 322044732, US

Contacts

Phone +1 904-308-2006
Fax 9043082060

Authorized person

Name DR. ERIC M GABRIEL, M.D.
Role PRESIDENT
Phone 9043082006

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number ME80322
State FL
Is Primary Yes

Agent

Name Role Address
GABRIEL ERIC M Agent 6510 NW 9TH BLVD., GAINESVILLE, FL, 32605

President

Name Role Address
GABRIEL ERIC M President 6510 NW 9TH BLVD. SUITE 1, GAINESVILLE, FL, 32605

Secretary

Name Role Address
GABRIEL ERIC M Secretary 6510 NW 9TH BLVD. SUITE 1, GAINESVILLE, FL, 32605

Treasurer

Name Role Address
GABRIEL ERIC M Treasurer 6510 NW 9TH BLVD. SUITE 1, GAINESVILLE, FL, 32605

Director

Name Role Address
GABRIEL ERIC M Director 6510 NW 9TH BLVD. SUITE 1, GAINESVILLE, FL, 32605

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data

Documents

Name Date
ANNUAL REPORT 2006-04-21
Domestic Profit 2005-02-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State