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JOSHUA A SUMMERS MD PA

Company Details

Entity Name: JOSHUA A SUMMERS MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Jul 2012 (13 years ago)
Document Number: P12000058706
FEI/EIN Number 45-5620767
Address: 2401 Forest Drive, INVERNESS, FL, 34453, US
Mail Address: 2401 Forest Drive, INVERNESS, FL, 34453, US
ZIP code: 34453
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679828552 2012-07-17 2012-07-30 3878 E COUNTRY SIDE DR, INVERNESS, FL, 344528834, US 3878 E COUNTRY SIDE DR, INVERNESS, FL, 344528834, US

Contacts

Phone +1 352-634-2207

Authorized person

Name DR. JOSHUA ALTON SUMMERS
Role PRESIDENT
Phone 3526342207

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME91020
State FL
Is Primary Yes

Agent

Name Role Address
SUMMERS KATHERINE C Agent 3878 E COUNTRY SIDE DRIVE, INVERNESS, FL, 34452

President

Name Role Address
SUMMERS JOSHUA A President 2401 Forest Drive, INVERNESS, FL, 34453

Secretary

Name Role Address
SUMMERS JOSHUA A Secretary 2401 Forest Drive, INVERNESS, FL, 34453

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-10 2401 Forest Drive, INVERNESS, FL 34453 No data
CHANGE OF MAILING ADDRESS 2019-04-10 2401 Forest Drive, INVERNESS, FL 34453 No data
REGISTERED AGENT NAME CHANGED 2014-05-15 SUMMERS, KATHERINE C No data
REGISTERED AGENT ADDRESS CHANGED 2014-05-15 3878 E COUNTRY SIDE DRIVE, INVERNESS, FL 34452 No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-07-28
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-04-11
ANNUAL REPORT 2017-09-03
ANNUAL REPORT 2016-03-25
ANNUAL REPORT 2015-05-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State