| Entity Name: | SIMON ISAAC, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Apr 2007 (18 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P07000047617 |
| FEI/EIN Number | 208888907 |
| Address: | 607 LONGMEADOW CIR, LONGWOOD, FL, 32779 |
| Mail Address: | PO BOX 915259, LONGWOOD, FL, 32791-5259 |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770764250 | 2007-11-26 | 2008-03-20 | PO BOX 915259, LONGWOOD, FL, 327915259, US | 448 S MILWEE ST, LONGWOOD, FL, 327504163, US | |||||||||||||||||||
|
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| Phone | +1 407-767-2996 |
| Fax | 4077670296 |
Authorized person
| Name | DR. SIMON B ISAAC |
| Role | PRESIDENT |
| Phone | 4079685218 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME95429 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ISAAC SIMON B | Agent | 607 LONGMEADOW CIR, LONGWOOD, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| ISAAC SIMON B | President | 607 LONGMEADOW CIR, LONGWOOD, FL, 32779 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-07-09 | ISAAC, SIMON BMD | No data |
| CHANGE OF MAILING ADDRESS | 2007-11-26 | 607 LONGMEADOW CIR, LONGWOOD, FL 32779 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-07-09 |
| Domestic Profit | 2007-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
