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CHARLES L. CARR, JR. DO PA

Company Details

Entity Name: CHARLES L. CARR, JR. DO PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 26 Nov 2019 (5 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: P19000091706
FEI/EIN Number 84-3989424
Mail Address: WALTER S SANDERS & ASSOCIATES PA, 16528 N. DALE MABRY HWY., TAMPA, FL 33618
Address: 3959 Van Dyke Road, 259, lutz, FL 33558
ZIP code: 33558
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649810540 2020-01-09 2020-01-09 3959 VAN DYKE RD # 259, LUTZ, FL, 335588025, US 4335 CHEVAL BLVD, LUTZ, FL, 335585328, US

Contacts

Phone +1 207-332-0774

Authorized person

Name CHARLES L CARR JR.
Role PRESIDENT
Phone 2073320774

Taxonomy

Taxonomy Code 204C00000X - Sports Medicine (Neuromusculoskeletal Medicine) Physician
Is Primary Yes

Agent

Name Role Address
SANDERS, BRIAN Agent 16528 N. DALE MABRY HWY., TAMPA, FL 33618

President

Name Role Address
CARR, CHARLES L, JR President 3959 VAN DYKE ROAD, 259 LUTZ, FL 33558

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-02-25 3959 Van Dyke Road, 259, lutz, FL 33558 No data

Documents

Name Date
ANNUAL REPORT 2021-03-26
ANNUAL REPORT 2020-02-10
Domestic Profit 2019-11-26

Date of last update: 16 Jan 2025

Sources: Florida Department of State