| Entity Name: | DIEGO FALLON, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Oct 1993 (31 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 30 Jan 2019 (6 years ago) |
| Document Number: | P93000068439 |
| FEI/EIN Number | 650440592 |
| Mail Address: | 1801 Hillmoor dr c208, Port St lucie, FL, 34952, US |
| Address: | 1801 SE HILLMOOR DR, SUITE C208, PORT ST LUCIE, FL, 34952, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134213366 | 2006-10-03 | 2016-08-14 | 117 W BAY ST, WAUCHULA, FL, 338733135, US | 117 W BAY ST, WAUCHULA, FL, 338733135, US | |||||||||||||||||||||||
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| Phone | +1 863-773-4700 |
| Fax | 8637732916 |
Authorized person
| Name | DIEGO FALLON |
| Role | OWNER |
| Phone | 8637734700 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KANE MORGAN | Agent | 1801 Hillmoor dr c208, Port St lucie, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| KANE MORGAN | President | 1801 HILLMOOR DR C208, PORT ST LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-04 | 1801 SE HILLMOOR DR, SUITE C208, PORT ST LUCIE, FL 34952 | No data |
| AMENDMENT | 2019-01-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-30 | KANE, MORGAN | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-30 | 1801 SE HILLMOOR DR, SUITE C208, PORT ST LUCIE, FL 34952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-15 | 1801 Hillmoor dr c208, Port St lucie, FL 34952 | No data |
| AMENDMENT | 2017-07-18 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2013-06-19 | DIEGO FALLON, INC. | No data |
| CANCEL ADM DISS/REV | 2005-03-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-05-31 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-05-02 |
| Amendment | 2019-01-30 |
| ANNUAL REPORT | 2018-02-15 |
| Amendment | 2017-07-18 |
| ANNUAL REPORT | 2017-03-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
