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D.A. CAMPBELL, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: D.A. CAMPBELL, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Jan 2006 (20 years ago)
Last Event: AMENDMENT
Event Date Filed: 17 Sep 2018 (7 years ago)
Document Number: P06000004081
FEI/EIN Number 161746695
Address: 401 CORBETT ST, BELLEAIR, FL, 33756, US
Mail Address: 401 CORBETT ST, BELLEAIR, FL, 33756, US
ZIP code: 33756
City: Clearwater
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CAMPBELL DANA A President 2254 HARBOR VIEW DRIVE, DUNEDIN, FL, 34698
CAMPBELL KAREN A Vice President 2254 HARBOR VIEW DRIVE, DUNEDIN, FL, 34698
CAMPBELL KAREN A Secretary 2254 HARBOR VIEW DRIVE, DUNEDIN, FL, 34698
CAMPBELL SEAN P Treasurer 19275 ALTA VISTA CIRCLE, BROOKFIELD, WI, 53045
Campbell Christopher A Director 2254 HARBOR VIEW DRIVE, DUNEDIN, FL, 34698
CAMPBELL DANA A Agent 401 CORBETT ST, BELLEAIR, FL, 33756

National Provider Identifier

NPI Number:
1164766721
Certification Date:
2020-06-17

Authorized Person:

Name:
DR. DANA ALAN CAMPBELL
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
8889723760

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-04-21 401 CORBETT ST, STE 250, BELLEAIR, FL 33756 -
CHANGE OF MAILING ADDRESS 2020-04-21 401 CORBETT ST, STE 250, BELLEAIR, FL 33756 -
REGISTERED AGENT ADDRESS CHANGED 2020-04-21 401 CORBETT ST, STE 250, BELLEAIR, FL 33756 -
AMENDMENT 2018-09-17 - -
REGISTERED AGENT NAME CHANGED 2013-02-21 CAMPBELL, DANA A -

Documents

Name Date
ANNUAL REPORT 2024-03-08
ANNUAL REPORT 2023-02-24
ANNUAL REPORT 2022-03-27
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-04-21
ANNUAL REPORT 2019-02-11
Amendment 2018-09-17
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-03-28

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$60,225
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$60,225
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$60,611.44
Servicing Lender:
Valley National Bank
Use of Proceeds:
Payroll: $60,225

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Date of last update: 01 Jul 2025

Sources: Florida Department of State