| Entity Name: | FLORIDA IPA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Aug 2010 (15 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P10000063172 |
| Address: | 1200 SOUTH PINELLAS AVENUE, 11, TARPON SPRINGS, FL, 34689 |
| Mail Address: | 1200 SOUTH PINELLAS AVENUE, 11, TARPON SPRINGS, FL, 34689 |
| ZIP code: | 34689 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730496332 | 2010-09-03 | 2010-09-03 | 1200 S PINELLAS AVE, SUITE 11, TARPON SPRINGS, FL, 346893728, US | 1200 S PINELLAS AVE, SUITE 11, TARPON SPRINGS, FL, 346893728, US | |||||||||||||||||||||
|
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| Phone | +1 727-942-8900 |
Authorized person
| Name | DR. NICOLAS PAVOURIS |
| Role | PRESIDENT |
| Phone | 7279428900 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FISHMAN WARREN S | Agent | 1200 SOUTH PINELLAS AVENUE, TARPON SPRINGS, FL, 34689 |
| Name | Role | Address |
|---|---|---|
| PAVOURIS NICOLAS M | President | 2921 GULF BLVD, BELLAIR BEACH, FL, 33786 |
| Name | Role | Address |
|---|---|---|
| FISHMAN WARREN S | Chief Executive Officer | 1508 SEEAGULL DR. #102, PALM HARBOR, FL, 34685 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2010-08-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
