| Entity Name: | PATRICIA J. DURY MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Mar 2005 (20 years ago) |
| Date of dissolution: | 29 Apr 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Apr 2019 (6 years ago) |
| Document Number: | P05000041650 |
| FEI/EIN Number | 342040538 |
| Address: | 1003 DEL PRADO BLVD., CAPE CORAL, FL, 33990, US |
| Mail Address: | PO Box 150207, CAPE CORAL, FL, 33915, US |
| ZIP code: | 33990 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134524366 | 2014-10-30 | 2014-10-30 | PO BOX 150207, SUITE # 202, CAPE CORAL, FL, 339150207, US | 1425 VISCAYA PKWY, SUITE # 202, CAPE CORAL, FL, 339903294, US | |||||||||||||||||||||||||
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| Phone | +1 239-945-5015 |
| Fax | 2399455017 |
Authorized person
| Name | PATRICIA JEAN DURY |
| Role | PRESIDENT/OWNER |
| Phone | 2398268771 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| License Number | ME 70701 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 379778300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DURY PATRICIA J | Agent | 5834 Wild Fig Lane, FORT MYERS, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| DURY PATRICIA J | Director | 1003 DEL PRADO BLVD., CAPE CORAL, FL, 33990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-07-29 | 1003 DEL PRADO BLVD., SUITE 303, CAPE CORAL, FL 33990 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-09 | 5834 Wild Fig Lane, FORT MYERS, FL 33919 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 1003 DEL PRADO BLVD., SUITE 303, CAPE CORAL, FL 33990 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-29 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-03-03 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-05-09 |
| ANNUAL REPORT | 2011-01-10 |
| ANNUAL REPORT | 2010-04-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
