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PERRY A. GOTSIS MD P.A

Company Details

Entity Name: PERRY A. GOTSIS MD P.A
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 21 Jun 2006 (19 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: P06000084219
Mail Address: 820 GROVESMERE LOOP, OCOEE, FL, 34761, US
Address: 680 SECOND AVENUE N, 202, NAPLES, FL, 34102, US
ZIP code: 34102
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467476176 2006-07-26 2020-08-22 680 2ND AVE N, SUITE 2, NAPLES, FL, 341025753, US 680 2ND AVE N, SUITE 2, NAPLES, FL, 341025753, US

Contacts

Phone +1 239-263-8800
Fax 2392638300

Authorized person

Name PERRY A GOTSIS
Role PRESIDENT
Phone 2392638800

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME38175
State FL
Is Primary Yes

Agent

Name Role Address
GOTSIS PERRY A Agent 680 SECOND AVENUE N, NAPLES, FL, 34102

President

Name Role Address
GOTSIS PERRY A President 680 SECOND AVENUE N STE 202, NAPLES, FL, 34102

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data
AMENDMENT AND NAME CHANGE 2006-06-30 PERRY A. GOTSIS MD P.A No data

Documents

Name Date
Amendment and Name Change 2006-06-30
Domestic Profit 2006-06-21

Date of last update: 03 Feb 2025

Sources: Florida Department of State