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ADAM C PERRY MD, PA - Florida Company Profile

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Company Details

Entity Name: ADAM C PERRY MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Sep 2023 (2 years 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
City: Naples
County: Collier
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PERRY ADAM C President 1050 6TH ST S, NAPLES, FL, 34102
PERRY KATHRYN Vice President 1050 6TH ST S, NAPLES, FL, 34102
PERRY ADAM C Agent 1050 6TH ST S, NAPLES, FL, 34102

National Provider Identifier

NPI Number:
1174399034
Certification Date:
2023-11-30

Authorized Person:

Name:
ADAM PERRY
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fictitious Names

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 - 1050 6TH ST S, NAPLES, FL, 34102

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-06-01 1050 6TH ST S, NAPLES, FL 34102 -
CHANGE OF MAILING ADDRESS 2025-06-01 1050 6TH ST S, NAPLES, FL 34102 -
CHANGE OF PRINCIPAL ADDRESS 2024-06-01 1050 6TH ST S, NAPLES, FL 34102 -
CHANGE OF MAILING ADDRESS 2024-06-01 1050 6TH ST S, NAPLES, FL 34102 -

Documents

Name Date
ANNUAL REPORT 2024-04-06
Domestic Profit 2023-09-08

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Date of last update: 02 Jul 2025

Sources: Florida Department of State