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M. ADAM, MD., PA

Company Details

Entity Name: M. ADAM, MD., PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 17 Aug 2011 (13 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: P11000073708
FEI/EIN Number 453068608
Address: 1351 PINE ST., NAPLES, FL, 34104
Mail Address: 1351 PINE ST., NAPLES, FL, 34104
ZIP code: 34104
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356615603 2012-03-05 2012-03-05 1351 PINE ST, NAPLES, FL, 341044260, US 1351 PINE ST, NAPLES, FL, 341044260, US

Contacts

Phone +1 239-304-9267

Authorized person

Name DR. MAHMOUD H ADAM
Role PRESIDENT
Phone 2393049267

Taxonomy

Taxonomy Code 282N00000X - General Acute Care Hospital
Is Primary Yes

Agent

Name Role
SPIEGEL & UTRERA, P.A. Agent

Manager

Name Role Address
ADAM MAHMOUD Manager 1351 PINE ST., NAPLES, FL, 34104

Director

Name Role Address
ADAM MAHMOUD Director 1351 PINE ST., NAPLES, FL, 34104

Secretary

Name Role Address
ADAM AMAL Secretary 6597 NICHOLAS BLVD., NAPLES, FL, 34108

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
REINSTATEMENT 2018-10-10 No data No data
REGISTERED AGENT NAME CHANGED 2018-10-10 SPIEGEL & UTRERA, P.A. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-01-09 1351 PINE ST., NAPLES, FL 34104 No data
CHANGE OF MAILING ADDRESS 2012-01-09 1351 PINE ST., NAPLES, FL 34104 No data

Documents

Name Date
ANNUAL REPORT 2019-04-02
REINSTATEMENT 2018-10-10
ANNUAL REPORT 2012-01-09
Domestic Profit 2011-08-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State