| Entity Name: | ROBERT BRUCE KILLEEN, JR., M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ROBERT BRUCE KILLEEN, JR., M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 18 Oct 1993 (32 years ago) |
| Document Number: | P93000073229 |
| FEI/EIN Number |
593208813
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2520 US HWY 19, HOLIDAY, FL, 34691, US |
| Mail Address: | 2520 US HWY 19, HOLIDAY, FL, 34691, US |
| ZIP code: | 34691 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730570219 | 2015-02-05 | 2015-02-05 | 2520 US HIGHWAY 19, HOLIDAY, FL, 346913846, US | 2520 US HIGHWAY 19, HOLIDAY, FL, 346913846, US | |||||||||||||||||||||||||
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| Phone | +1 727-945-0515 |
| Fax | 7279344045 |
Authorized person
| Name | DR. ROBERT BRUCE KILLEEN JR. |
| Role | PRESIDENT |
| Phone | 7279450515 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME58217 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 054208300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KILLEEN ROBERT | Manager | 4548 BARDSDALE DR, PALM HARBOR, FL, 34685 |
| KILLEEN ROBERT | Director | 4548 BARDSDALE DR, PALM HARBOR, FL, 34685 |
| KILLEEN ROBERT B | Agent | 4548 BARDSDALE DR, PALM HARBOR, FL, 34685 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2000-03-04 | 2520 US HWY 19, HOLIDAY, FL 34691 | - |
| CHANGE OF MAILING ADDRESS | 2000-03-04 | 2520 US HWY 19, HOLIDAY, FL 34691 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-04-03 |
| ANNUAL REPORT | 2015-02-17 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
