| Entity Name: | SEAN NONNEMAKER-EXT DO PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Feb 2020 (5 years ago) |
| Document Number: | P20000011722 |
| FEI/EIN Number | 844742799 |
| Address: | 250 2ND STREET E, SUITE 3B, BRADENTON, FL, 34208, US |
| Mail Address: | 250 2ND STREET E, SUITE 3B, BRADENTON, FL, 34208, US |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295369924 | 2020-03-03 | 2020-03-03 | 250 2ND ST E STE 3B, BRADENTON, FL, 342081027, US | 250 2ND ST E STE 3B, BRADENTON, FL, 342081027, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 941-746-4151 |
| Fax | 9417464345 |
Authorized person
| Name | DAWN BIRD |
| Role | CRED MANAGER |
| Phone | 8137285460 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NONNEMAKER SEAN DDO | Agent | 250 2ND STREET E, BRADENTON, FL, 34208 |
| Name | Role | Address |
|---|---|---|
| NONNEMAKER SEAN DDO | President | 250 2ND STREET E STE 3B, BRADENTON, FL, 34208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-01 | 250 2ND STREET E, SUITE 3B, BRADENTON, FL 34208 | No data |
| CHANGE OF MAILING ADDRESS | 2025-02-01 | 250 2ND STREET E, SUITE 3B, BRADENTON, FL 34208 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-01 | 250 2ND STREET E, SUITE 3B, BRADENTON, FL 34208 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-01 | 250 2ND STREET E, SUITE 3B, BRADENTON, FL 34208 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-03-25 |
| Domestic Profit | 2020-02-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
