| Entity Name: | DAVID M STIEBER MD, FACC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Aug 2009 (16 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P09000065735 |
| Address: | 2709 BUCKTHORN WAY, NAPLES, FL, 34105, US |
| Mail Address: | 2709 BUCKTHORN WAY, NAPLES, FL, 34105, US |
| ZIP code: | 34105 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396838686 | 2006-10-02 | 2010-08-20 | PO BOX 6037, DELRAY BEACH, FL, 334826037, US | 5352 LINTON BLVD, DELRAY BEACH, FL, 334846514, US | |||||||||||||||||||||||||
|
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| Phone | +1 239-989-8418 |
| Fax | 5618077351 |
Authorized person
| Name | DAVID STIEBER |
| Role | PRESIDENT |
| Phone | 2399898418 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | G39762 |
| State | CA |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 00G397620 |
| State | CA |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| STIEBER DAVID M | Director | 2709 BUCKTHORN WAY, NAPLES, FL, 34105 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2009-08-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
