| Entity Name: | PROFESSIONAL GASTROENTEROLOGY & NUTRITION ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Sep 1993 (31 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 12 Oct 2009 (15 years ago) |
| Document Number: | P93000066134 |
| FEI/EIN Number | 59-3210246 |
| Address: | 8110 CR 44 LEG-A, LEESBURG, FL 34788 |
| Mail Address: | 8110 CR 44 LEG-A, LEESBURG, FL 34788 |
| ZIP code: | 34788 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215974498 | 2006-05-31 | 2022-07-21 | 8110 COUNTY ROAD 44 LEG A, LEESBURG, FL, 347883704, US | 8110 COUNTY ROAD 44 LEG A, LEESBURG, FL, 347883704, US | |||||||||||||||||
|
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| Phone | +1 352-323-8868 |
| Fax | 3523238865 |
Authorized person
| Name | LILY C TRAN |
| Role | PHYSICIAN |
| Phone | 3523238868 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ISMAIL, ISMAIL A | Agent | 8110 CR 44 LEG-A, LEESBURG, FL 34788 |
| Name | Role | Address |
|---|---|---|
| TRAN, LILY MD | President | 8110 CR 44 LEG-A, LEESBURG, FL 34788 |
| Name | Role | Address |
|---|---|---|
| ISMAIL, ISMAIL A | Director | 8110 CR 44 LEG, A LEESBURG, FL 34788 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000070850 | ADVANCED GASTROENTEROLOGY AND SURGERY ASSOCIATES | ACTIVE | 2024-06-06 | 2029-12-31 | No data | 8110 CR 44 LEG A, LEESBURG, FL, 34788 |
| G14000117428 | ADVANCED GASTROENTEROLOGY & SURGERY ASSOCIATES | EXPIRED | 2014-11-21 | 2019-12-31 | No data | 8110 CR 44 LEG A, LEESBURG, FL, 34788 |
| G09000169783 | ADVANCED GASTREOENTEROLOGY & SURGERY ASSOCIATES | EXPIRED | 2009-10-28 | 2014-12-31 | No data | 8110 CR 44 LEG A, LEESBURG, FL, 34788 |
| G09000166973 | ADVANCED GASTROENTEROLOGY & SURGERY ASSOCIATION | EXPIRED | 2009-10-20 | 2014-12-31 | No data | 8110 CR 44 LEG A, LEESBURG, FL, 34788 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-25 | 8110 CR 44 LEG-A, LEESBURG, FL 34788 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-25 | 8110 CR 44 LEG-A, LEESBURG, FL 34788 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-25 | 8110 CR 44 LEG-A, LEESBURG, FL 34788 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-07-20 | ISMAIL, ISMAIL A | No data |
| CANCEL ADM DISS/REV | 2009-10-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| NAME CHANGE AMENDMENT | 2000-07-07 | PROFESSIONAL GASTROENTEROLOGY & NUTRITION ASSOCIATES, P.A. | No data |
| REINSTATEMENT | 1995-10-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-02-02 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-03-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
