| Entity Name: | ADAM C PERRY MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Sep 2023 (a year ago) |
| Document Number: | P23000065076 |
| FEI/EIN Number | 93-3410777 |
| Address: | 1050 6TH ST S, NAPLES, FL, 34102 |
| Mail Address: | 1050 6TH ST S, NAPLES, FL, 34102 |
| ZIP code: | 34102 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174399034 | 2023-11-30 | 2023-11-30 | 1050 6TH ST S, NAPLES, FL, 341027122, US | 1050 6TH ST S, NAPLES, FL, 341027122, US | |||||||||||||
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| Phone | +1 717-856-6050 |
Authorized person
| Name | ADAM PERRY |
| Role | PHYSICIAN |
| Phone | 7178566050 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PERRY ADAM C | Agent | 1050 6TH ST S, NAPLES, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| PERRY ADAM C | President | 1050 6TH ST S, NAPLES, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| PERRY KATHRYN | Vice President | 1050 6TH ST S, NAPLES, FL, 34102 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000009893 | HEALTHSPAN PARTNERS OF SOUTHWEST FLORIDA | ACTIVE | 2024-01-17 | 2029-12-31 | No data | 1050 6TH ST S, NAPLES, FL, 34102 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-06-01 | 1050 6TH ST S, NAPLES, FL 34102 | No data |
| CHANGE OF MAILING ADDRESS | 2025-06-01 | 1050 6TH ST S, NAPLES, FL 34102 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-01 | 1050 6TH ST S, NAPLES, FL 34102 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-01 | 1050 6TH ST S, NAPLES, FL 34102 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-06 |
| Domestic Profit | 2023-09-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
