| Entity Name: | PREVENTIVE MEDICINE OF SARASOTA, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Dec 2007 (17 years ago) |
| Date of dissolution: | 03 Jan 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 03 Jan 2022 (3 years ago) |
| Document Number: | P07000133682 |
| FEI/EIN Number | 261588575 |
| Address: | 1853 Grove Street, Sarasota, FL, 34239, US |
| Mail Address: | 1853 GROVE STREET, SARASOTA, FL, 34239, US |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821476375 | 2015-05-15 | 2015-05-15 | 1853 GROVE ST, SARASOTA, FL, 342394509, US | 9114 TOWN CENTER PKWY, LAKEWOOD RANCH, FL, 342025053, US | |||||||||||||||||||||||||||
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| Phone | +1 941-366-3848 |
| Phone | +1 941-351-4949 |
| Fax | 9413513033 |
Authorized person
| Name | DR. JOSEPH BUBINAK |
| Role | PRESIDENT |
| Phone | 9414004965 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME29207 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DRIVER LICENSE |
| Number | B152-486-42-373-0 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BUBINAK JOSEPH F | Agent | 1853 GROVE STREET, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| BUBINAK JOSEPH F | President | 1853 GROVE, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| BUBINAK JOSEPH F | Director | 1853 GROVE, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| Bubinak Jane F | Secretary | 1853 GROVE STREET, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| Bubinak Jane F | Treasurer | 1853 GROVE STREET, SARASOTA, FL, 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2022-01-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-14 | 1853 Grove Street, Sarasota, FL 34239 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-02-01 | BUBINAK, JOSEPH F | No data |
| REINSTATEMENT | 2015-02-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-27 | 1853 GROVE STREET, SARASOTA, FL 34239 | No data |
| PENDING REINSTATEMENT | 2011-01-27 | No data | No data |
| REINSTATEMENT | 2011-01-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-27 | 1853 Grove Street, Sarasota, FL 34239 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-02-08 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-05-21 |
| ANNUAL REPORT | 2016-01-27 |
| REINSTATEMENT | 2015-02-01 |
| ANNUAL REPORT | 2012-09-05 |
| REINSTATEMENT | 2011-01-27 |
| Domestic Profit | 2007-12-20 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
