| Entity Name: | SELMA C. DELIMA, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Feb 2008 (17 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P08000013692 |
| FEI/EIN Number | 261894663 |
| Address: | 923 N. SPRING GARDEN AVENUE, DELAND, FL, 32720 |
| Mail Address: | 923 N. SPRING GARDEN AVENUE, DELAND, FL, 32720 |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821268079 | 2008-03-04 | 2010-01-13 | 923 N SPRING GARDEN AVE, DELAND, FL, 327202560, US | 923 N SPRING GARDEN AVE, DELAND, FL, 327202560, US | |||||||||||||||||||||||||
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| Phone | +1 386-738-9144 |
| Fax | 3867389213 |
Authorized person
| Name | SELMA C DELIMA |
| Role | PRESIDENT |
| Phone | 3867389144 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME77990 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 259501000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DELIMA SELMA C | Agent | 923 N. SPRING GARDEN AVENUE, DELAND, FL, 32720 |
| Name | Role | Address |
|---|---|---|
| DELIMA SELMA C | Manager | 923 N. SPRING GARDEN AVENUE, DELAND, FL, 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-04-07 | DELIMA, SELMA CM.D. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-04-07 |
| ANNUAL REPORT | 2009-04-21 |
| Domestic Profit | 2008-02-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
