| Entity Name: | H. DREXEL DOBSON III, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Apr 2006 (19 years ago) |
| Date of dissolution: | 19 Apr 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Apr 2014 (11 years ago) |
| Document Number: | P06000049856 |
| FEI/EIN Number | 204649717 |
| Address: | 2191 9TH AVENUE NORTH, 105, ST PETERSBURG, FL, 33713 |
| Mail Address: | 2191 9TH AVENUE NORTH, 105, ST PETERSBURG, FL, 33713 |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538237300 | 2006-12-01 | 2010-03-12 | 2191 9TH AVE N, SUITE 105, ST PETERSBURG, FL, 337137146, US | 2191 9TH AVE N, SUITE 105, ST PETERSBURG, FL, 337137146, US | |||||||||||||||||||||
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| Phone | +1 727-343-9141 |
| Fax | 7273439157 |
Authorized person
| Name | HOWARD DREXEL DOBSON III |
| Role | MD |
| Phone | 7273439141 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 276572100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DOBSON H. DREXEL I | Agent | 2191 9TH AVENUE NORTH, ST PETERSBURG, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| DOBSON H DREXEL I | Director | 2191 9TH AVENUE NORTH, STE. 105, ST PETERSBURG, FL, 33713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-04-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-22 | 2191 9TH AVENUE NORTH, 105, ST PETERSBURG, FL 33713 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-22 | 2191 9TH AVENUE NORTH, 105, ST PETERSBURG, FL 33713 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-22 | 2191 9TH AVENUE NORTH, 105, ST PETERSBURG, FL 33713 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-04-19 |
| ANNUAL REPORT | 2013-04-19 |
| ANNUAL REPORT | 2012-04-18 |
| ANNUAL REPORT | 2011-04-21 |
| ANNUAL REPORT | 2010-04-22 |
| ANNUAL REPORT | 2009-04-17 |
| ANNUAL REPORT | 2008-03-10 |
| ANNUAL REPORT | 2007-01-05 |
| Domestic Profit | 2006-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
