| Entity Name: | C. COUTS, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 23 Mar 2005 (20 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P05000046969 |
| FEI/EIN Number | 20-2509149 |
| Address: | 3261 U.S.HWY. 27 / 441, SUITE C-2, FRUITLAND PARK, FL 34731 |
| Mail Address: | 3261 U.S.HWY. 27 / 441, SUITE C-2, FRUITLAND PARK, FL 34731 |
| ZIP code: | 34731 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003895871 | 2006-01-11 | 2020-08-22 | 3261 U.S. HIGHWAY 27/441, SUITE C-2, FRUITLAND PARK, FL, 34731, US | 3261 U.S. HIGHWAY 27/441, SUITE C-2, FRUITLAND PARK, FL, 34731, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 352-323-6050 |
| Fax | 3523230913 |
Authorized person
| Name | DR. CAROL A COUTS |
| Role | ADULT PSYCHIATRIST |
| Phone | 3523236050 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME92328 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RICHARDSON, FREDRICK | Agent | 3711 FALLSCREST CIR, CLERMONT, FL 34711-5089 |
| Name | Role | Address |
|---|---|---|
| COUTS, CAROL A | Chief Executive Officer | 3815, FALLSCREST CIR CLERMONT, FL 34711-5089 |
| Name | Role | Address |
|---|---|---|
| COUTS, CAROL A | President | 3815, FALLSCREST CIR CLERMONT, FL 34711-5089 |
| Name | Role | Address |
|---|---|---|
| COUTS, THOMAS E | Vice Chairman | 3815, FALLSCREST CIR CLERMONT, FL 34711-5089 |
| Name | Role | Address |
|---|---|---|
| RICHARDSON, MARGARET M | Secretary | 3711 FALLSCREST CIR, CLERMONT, FL 34711-5089 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-09 | 3261 U.S.HWY. 27 / 441, SUITE C-2, FRUITLAND PARK, FL 34731 | No data |
| CHANGE OF MAILING ADDRESS | 2006-01-09 | 3261 U.S.HWY. 27 / 441, SUITE C-2, FRUITLAND PARK, FL 34731 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-02-22 |
| ANNUAL REPORT | 2009-02-06 |
| ANNUAL REPORT | 2008-02-26 |
| ANNUAL REPORT | 2007-02-26 |
| ANNUAL REPORT | 2006-01-09 |
| Domestic Profit | 2005-03-23 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
