| Entity Name: | PMMDOC, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Dec 2006 (18 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P06000150083 |
| FEI/EIN Number | 205986120 |
| Address: | 6435 DUNLIETH PLACE, PENSACOLA, FL, 32504 |
| Mail Address: | 6435 DUNLIETH PLACE, PENSACOLA, FL, 32504 |
| ZIP code: | 32504 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053566380 | 2008-12-01 | 2010-04-30 | 6435 DUNLIETH PLACE, PENSACOLA, FL, 325047887, US | 6435 DUNLIETH PLACE, PENSACOLA, FL, 325047887, US | |||||||||||||||||||||||||
|
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| Phone | +1 850-478-0240 |
| Fax | 8504780502 |
Authorized person
| Name | PETER MICHAEL MANIS |
| Role | PRESIDENT |
| Phone | 8504780240 |
Taxonomy
| Taxonomy Code | 207PE0004X - Emergency Medical Services (Emergency Medicine) Physician |
| License Number | ME38433 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 042767500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANIS PETER | Agent | 6435 DUNLIETH PLACE, PENSACOLA, FL, 32504 |
| Name | Role | Address |
|---|---|---|
| MANIS PETER | President | 6435 DUNLIETH PLACE, PENSACOLA, FL, 32504 |
| Name | Role | Address |
|---|---|---|
| MANIS PETER | Secretary | 6435 DUNLIETH PLACE, PENSACOLA, FL, 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-01-08 |
| ANNUAL REPORT | 2010-01-29 |
| ANNUAL REPORT | 2009-02-08 |
| REINSTATEMENT | 2008-10-16 |
| Domestic Profit | 2006-12-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
