| Entity Name: | THOMAS A. JOHN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 10 Jun 2013 (12 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P13000050110 |
| FEI/EIN Number | 46-2984778 |
| Address: | 6340 FORT KING ROAD, ZEPHYRHILLS, FL 33542 |
| Mail Address: | POST OFFICE BOX 1108, ZEPHYRHILLS, FL 33539 |
| ZIP code: | 33542 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992291363 | 2018-07-09 | 2018-07-09 | 6340 FORT KING ROAD, ZEPHYRHILLS, FL, 33542, US | 6340 FORT KING ROAD, ZEPHYRHILLS, FL, 33542, US | |||||||||||||||||||||||||
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| Phone | +1 813-782-6116 |
| Fax | 8137826116 |
Authorized person
| Name | EVELENA GORDON |
| Role | OFFICE MANAGER |
| Phone | 8137826116 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| License Number | ME95221 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | CQ465A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHN, THOMAS A, Dr. | Agent | 6340 Fort King Road, ZEPHYRHILLS, FL 33542 |
| Name | Role | Address |
|---|---|---|
| JOHN, THOMAS A, MD | President | 6340 FORT KING ROAD, ZEPHYRHILLS, FL 33542 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2018-02-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-06 | JOHN, THOMAS A, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-06 | 6340 Fort King Road, ZEPHYRHILLS, FL 33542 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-25 |
| REINSTATEMENT | 2018-02-06 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-04-02 |
| Domestic Profit | 2013-06-10 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
