| Entity Name: | LISA SHANNON DO, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LISA SHANNON DO, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 09 Dec 2019 (5 years ago) |
| Document Number: | P19000092885 |
| FEI/EIN Number |
84-3726162
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2901 US 301 N, ellenton, FL, 34222, US |
| Mail Address: | 250 2ND ST EAST, 3B, BRADENTON, FL, 34208, US |
| ZIP code: | 34222 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639718836 | 2020-01-06 | 2023-09-06 | 250 2ND ST E STE 3B, BRADENTON, FL, 342081027, US | 250 2ND ST E STE 3B, BRADENTON, FL, 342081027, US | |||||||||||||||||||
|
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| Phone | +1 941-746-4151 |
Authorized person
| Name | DR. LISA SHANNON |
| Role | PHYSICIAN |
| Phone | 9417464151 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 011944000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHANNON LISA | President | 250 2ND ST EAST, BRADENTON, FL, 34208 |
| SHANNON LISA | Agent | 250 2ND ST EAST, BRADENTON, FL, 34208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-02-01 | 2901 US 301 N, ellenton, FL 34222 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-01 | 2901 US 301 N, ellenton, FL 34222 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-01 | 2901 US 301 N, ellenton, FL 34222 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-13 |
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-01-20 |
| Domestic Profit | 2019-12-09 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
