| Entity Name: | GREGORY N. BAILEY, PAC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 Jul 2007 (18 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P07000076145 |
| Mail Address: | 700 CLARENDON CT, NAPLES, FL 34109 |
| Address: | 6175 N.W. 153RD STREET, SUITE 301, MIAMI LAKES, FL 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235324435 | 2007-09-11 | 2007-09-11 | 6175 NW 153RD ST, SUITE 301, MIAMI LAKES, FL, 330142435, US | 6175 NW 153RD ST, SUITE 301, MIAMI LAKES, FL, 330142435, US | |||||||||||||||||||||||||
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| Phone | +1 305-558-9522 |
| Fax | 3055589520 |
Authorized person
| Name | GREGORY N BAILEY |
| Role | PRESIDENT |
| Phone | 3055589522 |
Taxonomy
| Taxonomy Code | 363A00000X - Physician Assistant |
| License Number | PA 9101559 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PROF LICENSE |
| Number | PA 9101559 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BAILEY, GREGORY N | Agent | 700 CLARENDON CT, NAPLES, FL 34109 |
| Name | Role | Address |
|---|---|---|
| BAILEY, GREGORY N | President | 700 CLARENDON CT, NAPLES, FL 34109 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2007-07-02 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
