JONATHAN D. FORMAN, M.D., P.A. - Florida Company Profile
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| Entity Name: | JONATHAN D. FORMAN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Aug 2007 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 2017 (8 years ago) |
| Document Number: | P07000093519 |
| FEI/EIN Number | 412250118 |
| Address: | 508 South Habana Avenue, 170, TAMPA, FL, 33609, US |
| Mail Address: | 4931 W Melrose Avenue North, TAMPA, FL, 33629, US |
| ZIP code: | 33609 |
| City: | Tampa |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| FORMAN JONATHAN D | President | 508 SOUTH HABANA AVENUE, SUITE #170, TAMPA, FL, 33609 |
| FORMAN JONATHAN D | Director | 508 SOUTH HABANA AVENUE, SUITE #170, TAMPA, FL, 33609 |
| FORMAN JONATHAN DDr. | Agent | 508 SOUTH HABANA AVENUE, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2017-10-02 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF MAILING ADDRESS | 2015-10-26 | 508 South Habana Avenue, 170, TAMPA, FL 33609 | - |
| REINSTATEMENT | 2015-10-26 | - | - |
| REGISTERED AGENT NAME CHANGED | 2015-10-26 | FORMAN, JONATHAN D, Dr. | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-05-01 | 508 South Habana Avenue, 170, TAMPA, FL 33609 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-09-28 | 508 SOUTH HABANA AVENUE, SUITE 170, TAMPA, FL 33609 | - |
| REINSTATEMENT | 2010-08-11 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000020000 | TERMINATED | 1000000911422 | HILLSBOROU | 2021-12-28 | 2032-01-12 | $ 839.44 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-09-18 |
| ANNUAL REPORT | 2022-09-02 |
| ANNUAL REPORT | 2021-05-31 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-30 |
| ANNUAL REPORT | 2018-09-07 |
| REINSTATEMENT | 2017-10-02 |
| ANNUAL REPORT | 2016-08-31 |
| REINSTATEMENT | 2015-10-26 |
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Date of last update: 03 Jul 2025
Sources: Florida Department of State