| Entity Name: | GULF COAST VEIN CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 Nov 2012 (12 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P12000092276 |
| FEI/EIN Number | 46-1328999 |
| Address: | 4900 95th AVENUE NORTH, PINELLAS PARK, FL 33782 |
| Mail Address: | PO Box 1698, PINELLAS PARK, FL 33780 |
| ZIP code: | 33782 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639414618 | 2012-12-03 | 2013-07-22 | 4900 95TH AVE N, PINELLAS PARK, FL, 337823544, US | 4900 95TH AVE N, PINELLAS PARK, FL, 337823544, US | |||||||||||||||||||
|
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| Phone | +1 727-623-9999 |
Authorized person
| Name | WILLIAM D BOWERS |
| Role | OWNER |
| Phone | 7276239999 |
Taxonomy
| Taxonomy Code | 202K00000X - Phlebology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007951800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CPA Partners LLC | Agent | CPA Partners LLC, 8200 113th Street, 103, Seminole, FL 33772 |
| Name | Role | Address |
|---|---|---|
| BOWERS, WILLIAM | President | 4900 95th AVENUE NORTH, PINELLAS PARK, FL 33782 |
| Name | Role | Address |
|---|---|---|
| BOWERS, WILLIAM | Secretary | 4900 95th AVENUE NORTH, PINELLAS PARK, FL 33782 |
| Name | Role | Address |
|---|---|---|
| BOWERS, WILLIAM | Treasurer | 4900 95th AVENUE NORTH, PINELLAS PARK, FL 33782 |
| Name | Role | Address |
|---|---|---|
| BOWERS, WILLIAM | Director | 4900 95th AVENUE NORTH, PINELLAS PARK, FL 33782 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000002902 | BOWERS VEIN INSTITUTE | ACTIVE | 2015-01-08 | 2025-12-31 | No data | PO BOX 1698, PINELLAS PARK, FL, 33780 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-15 | 4900 95th AVENUE NORTH, PINELLAS PARK, FL 33782 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-12 | CPA Partners LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-12 | CPA Partners LLC, 8200 113th Street, 103, Seminole, FL 33772 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-29 | 4900 95th AVENUE NORTH, PINELLAS PARK, FL 33782 | No data |
| AMENDMENT | 2013-06-06 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-26 |
| ANNUAL REPORT | 2015-04-04 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-30 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
