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JACQUELYN E. PUGLIA, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: JACQUELYN E. PUGLIA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 26 Jul 1993 (32 years ago)
Date of dissolution: 25 Sep 2020 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (5 years ago)
Document Number: P93000052051
FEI/EIN Number 593193559
Address: 755 Grand Boulevard, MIRAMAR BEACH, FL, 32550, US
Mail Address: 1516 ISLAND GREEN DRIVE, MIRAMAR BEACH, FL, 32550, US
ZIP code: 32550
City: Miramar Beach
County: Walton
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PUGLIA JACQUELYN E Dr 755 Grand Boulevard, MIRAMAR BEACH, FL, 32550
GASSMAN ALAN S Agent 1245 COURT STREET, CLEARWATER, FL, 33756

National Provider Identifier

NPI Number:
1407349608

Authorized Person:

Name:
MEGAN FARELLA
Role:
BILLING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2019-04-10 755 Grand Boulevard, Suite B105-209, MIRAMAR BEACH, FL 32550 -
CHANGE OF MAILING ADDRESS 2013-04-14 755 Grand Boulevard, Suite B105-209, MIRAMAR BEACH, FL 32550 -
AMENDMENT AND NAME CHANGE 2007-06-27 JACQUELYN E. PUGLIA, M.D., P.A. -
REGISTERED AGENT ADDRESS CHANGED 2005-04-26 1245 COURT STREET, SUITE 102, CLEARWATER, FL 33756 -
NAME CHANGE AMENDMENT 1996-11-19 ASSOCIATED PRIMARY CARE PHYSICIANS, P.A. -

Documents

Name Date
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-24
ANNUAL REPORT 2014-04-14
ANNUAL REPORT 2013-04-14
ANNUAL REPORT 2012-04-19
ANNUAL REPORT 2011-04-16
ANNUAL REPORT 2010-04-25

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Date of last update: 01 Aug 2025

Sources: Florida Department of State