| Entity Name: | DONALD B. MORRIS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Aug 1993 (31 years ago) |
| Document Number: | P93000059165 |
| FEI/EIN Number | 59-3198270 |
| Address: | 1111 7TH AVENUE NORTH SUITE 101, ST PETERSBURG, FL 33705 |
| Mail Address: | 1111 7TH AVENUE NORTH SUITE 101, ST PETERSBURG, FL 33705 |
| ZIP code: | 33705 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215232319 | 2011-01-20 | 2011-01-24 | 1111 7TH AVE N STE 101, ST PETERSBURG, FL, 337051348, US | 1111 7TH AVE N STE 101, ST PETERSBURG, FL, 337051348, US | |||||||||||||||||||||||||
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| Phone | +1 727-822-3977 |
| Fax | 7278220377 |
Authorized person
| Name | DR. DONALD B MORRIS |
| Role | OWNER |
| Phone | 7278223977 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME59680 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 370352500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GASSMAN, ALAN S | Agent | 1245 COURT STREET, SUITE 102, CLEARWATER, FL 33756 |
| Name | Role | Address |
|---|---|---|
| MORRIS, DONALD B | Director | 1111 7TH AVE 101, ST PETERSBURG, FL 33705 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-08-13 | 1111 7TH AVENUE NORTH SUITE 101, ST PETERSBURG, FL 33705 | No data |
| CHANGE OF MAILING ADDRESS | 2013-08-13 | 1111 7TH AVENUE NORTH SUITE 101, ST PETERSBURG, FL 33705 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1998-02-18 | 1245 COURT STREET, SUITE 102, CLEARWATER, FL 33756 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-12 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-03-19 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-07-11 |
| ANNUAL REPORT | 2015-01-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
