| Entity Name: | DANIEL A BLACK DPM PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 May 2016 (9 years ago) |
| Date of dissolution: | 02 Mar 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 Mar 2022 (3 years ago) |
| Document Number: | P16000047017 |
| FEI/EIN Number | 81-2776485 |
| Address: | 754 BRAMBLY VINE DRIVE, SAINT JOHNS, FL, 32259, US |
| Mail Address: | 754 BRAMBLY VINE DRIVE, SAINT JOHNS, FL, 32259, US |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063940211 | 2017-06-01 | 2022-07-21 | 8851 BOARDROOM CIR, FORT MYERS, FL, 339194888, US | 8851 BOARDROOM CIR, FORT MYERS, FL, 339194888, US | |||||||||||||||||||
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| Phone | +1 239-481-7000 |
| Fax | 2394338999 |
Authorized person
| Name | ANGELA ROSANIA |
| Role | MANAGER |
| Phone | 2396898910 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO3782 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TAX & FINANCIAL STRATEGISTS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BLACK DANIEL A | President | 754 BRAMBLY VINE DRIVE, SAINT JOHNS, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-03-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-20 | 754 BRAMBLY VINE DRIVE, SAINT JOHNS, FL 32259 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-20 | 754 BRAMBLY VINE DRIVE, SAINT JOHNS, FL 32259 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-03-02 |
| ANNUAL REPORT | 2021-03-01 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-03-02 |
| Domestic Profit | 2016-05-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
