| Entity Name: | SAMANTHA S. LINDSAY, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Jun 2015 (10 years ago) |
| Document Number: | P15000050012 |
| FEI/EIN Number | 47-4254102 |
| Address: | 16541 Pointe Village Dr., LUTZ, FL, 33558, US |
| Mail Address: | 16541 Pointe Village Dr., LUTZ, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982080933 | 2015-07-31 | 2015-07-31 | 1029 SWEET JASMINE DR, TRINITY, FL, 346557136, US | 16541 POINTE VILLAGE DR, LUTZ, FL, 335585258, US | |||||||||||||||||||||||||||
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| Phone | +1 727-518-0647 |
| Phone | +1 813-920-8300 |
| Fax | 8139208334 |
Authorized person
| Name | DR. SAMANTHA S LINDSAY |
| Role | OWNER/DOCTOR |
| Phone | 7275184548 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME106322 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002813600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Lindsay Samantha S | Agent | 16541 Pointe Village Dr., LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| Lindsay Samantha S | President | 16541 Pointe Village Dr., LUTZ, FL, 33558 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000068280 | FAMILY FIRST WELLNESS | ACTIVE | 2015-06-30 | 2025-12-31 | No data | 1652 WESTERHAM LOOP, TRINITY, FL, 34655 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-23 | 16541 Pointe Village Dr., 211, LUTZ, FL 33558 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-23 | 16541 Pointe Village Dr., 211, LUTZ, FL 33558 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-23 | Lindsay, Samantha S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-23 | 16541 Pointe Village Dr., 211, LUTZ, FL 33558 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-03-11 |
| Domestic Profit | 2015-06-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
