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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
GABRIEL ERIC M | Agent | 6510 NW 9TH BLVD., GAINESVILLE, FL, 32605 |
Name | Role | Address |
---|---|---|
GABRIEL ERIC M | President | 6510 NW 9TH BLVD. SUITE 1, GAINESVILLE, FL, 32605 |
Name | Role | Address |
---|---|---|
GABRIEL ERIC M | Secretary | 6510 NW 9TH BLVD. SUITE 1, GAINESVILLE, FL, 32605 |
Name | Role | Address |
---|---|---|
GABRIEL ERIC M | Treasurer | 6510 NW 9TH BLVD. SUITE 1, GAINESVILLE, FL, 32605 |
Name | Role | Address |
---|---|---|
GABRIEL ERIC M | Director | 6510 NW 9TH BLVD. SUITE 1, GAINESVILLE, FL, 32605 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2006-04-21 |
Domestic Profit | 2005-02-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State