Search icon

DR. GLENN M FLANAGAN, MD, PA

Company Details

Entity Name: DR. GLENN M FLANAGAN, MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Jan 2015 (10 years ago)
Document Number: P15000008372
FEI/EIN Number 47-2913948
Address: 2950 tamiami trail north, naples, FL, 34103, US
Mail Address: 2950 tamiami trail north, naples, FL, 34103, US
ZIP code: 34103
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013476936 2019-03-19 2019-09-24 2950 TAMIAMI TRL N STE 13, NAPLES, FL, 341034420, US 2950 TAMIAMI TRL N STE 13, NAPLES, FL, 341034420, US

Contacts

Phone +1 239-276-7074
Fax 2392800290

Authorized person

Name DR. GLENN FLANAGAN
Role PRESIDENT
Phone 3927670742

Taxonomy

Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
Is Primary Yes

Agent

Name Role Address
Flanagan Glenn Agent 2950 tamiami trail north, naples, FL, 34103

President

Name Role Address
FLANAGAN GLENN M President 2950 tamiami trail north, naples, FL, 34103

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000042109 NAPLES REGENERATIVE INSTITUTE EXPIRED 2019-04-02 2024-12-31 No data 13770 CALLISTO AVE, NAPLES, FL, 34109

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-04-23 2950 tamiami trail north, suite 13, naples, FL 34103 No data
CHANGE OF PRINCIPAL ADDRESS 2020-06-26 2950 tamiami trail north, suite 13, naples, FL 34103 No data
CHANGE OF MAILING ADDRESS 2020-06-26 2950 tamiami trail north, suite 13, naples, FL 34103 No data
REGISTERED AGENT NAME CHANGED 2020-06-26 Flanagan, Glenn No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-16
Domestic Profit 2015-01-26

Date of last update: 01 Feb 2025

Sources: Florida Department of State