| Entity Name: | PETER A. NASSAR, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PETER A. NASSAR, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Dec 2006 (18 years ago) |
| Date of dissolution: | 29 Mar 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Mar 2014 (11 years ago) |
| Document Number: | P06000154201 |
| FEI/EIN Number |
208057768
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6930 Bonneval Road, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 3537 CREST STREET, ST AUGUSTINE, FL, 32092 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1609000215 | 2009-05-11 | 2012-03-01 | 3537 CREST ST, ST AUGUSTINE, FL, 320923801, US | 6930 BONNEVAL RD, SUITE 2, JACKSONVILLE, FL, 322166084, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-236-9331 |
| Fax | 9043380533 |
| Phone | +1 904-854-6899 |
Authorized person
| Name | DR. PETER A NASSAR |
| Role | OWNER |
| Phone | 9042369331 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | ME94669 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| License Number | ME94669 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AVMED |
| Number | 299886 |
| State | FL |
| Issuer | CIGNA |
| Number | 6428573 |
| State | FL |
| Issuer | BCBS OF FL |
| Number | 31047 |
| State | FL |
| Issuer | AETNA |
| Number | 7329770 |
| State | FL |
| Issuer | MEDICAID |
| Number | 274620400 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | P00629712 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NASSAR PETER A | President | 3537 CREST STREET, ST AUGUSTINE, FL, 32216 |
| NASSAR PETER A | Agent | 3537 CREST STREET, ST AUGUSTINE, FL, 32092 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-03-29 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-30 | 6930 Bonneval Road, Suite #2, JACKSONVILLE, FL 32216 | - |
| NAME CHANGE AMENDMENT | 2012-02-07 | PETER A. NASSAR, M.D., P.A. | - |
| REINSTATEMENT | 2012-01-24 | - | - |
| CHANGE OF MAILING ADDRESS | 2012-01-24 | 6930 Bonneval Road, Suite #2, JACKSONVILLE, FL 32216 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-24 | 3537 CREST STREET, ST AUGUSTINE, FL 32092 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-03-29 |
| ANNUAL REPORT | 2013-04-30 |
| Name Change | 2012-02-07 |
| REINSTATEMENT | 2012-01-24 |
| ANNUAL REPORT | 2010-04-17 |
| ANNUAL REPORT | 2009-01-14 |
| ANNUAL REPORT | 2008-04-27 |
| ANNUAL REPORT | 2007-02-18 |
| Domestic Profit | 2006-12-18 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
