| Entity Name: | MARK B. PHILLIPS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Feb 1994 (31 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P94000009109 |
| FEI/EIN Number | 593227358 |
| Address: | 4545 EMERSON EXPRESSWAY, JACKSONVILLE, FL, 32207, US |
| Mail Address: | 4545 EMERSON EXPRESSWAY, JACKSONVILLE, FL, 32207, US |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003997271 | 2006-10-17 | 2020-08-22 | PO BOX 10543, JACKSONVILLE, FL, 322470543, US | 4545 EMERSON EXPRESSWAY, JACKSONVILLE, FL, 32207, US | |||||||||||||||||||||
|
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| Phone | +1 904-396-5558 |
| Fax | 9043964279 |
| Phone | +1 904-399-2600 |
Authorized person
| Name | MARK PHILLIP |
| Role | PRESIDENT |
| Phone | 9043965558 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| License Number | ME0047040 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PHILLIPS MARK B M D | Agent | 4545 EMERSON EXPRESSWAY, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS MARK B | Director | 4545 EMERSON EXPRESSWAY, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2004-04-04 | 4545 EMERSON EXPRESSWAY, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-01-31 | 4545 EMERSON EXPRESSWAY, JACKSONVILLE, FL 32207 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-04-22 | 4545 EMERSON EXPRESSWAY, JACKSONVILLE, FL 32207 | No data |
| REINSTATEMENT | 1999-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1999-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 1996-06-21 | PHILLIPS, MARK B M D | No data |
| REINSTATEMENT | 1995-12-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| AMENDMENT | 1994-11-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-07-04 |
| ANNUAL REPORT | 2006-08-16 |
| ANNUAL REPORT | 2005-01-20 |
| ANNUAL REPORT | 2004-04-04 |
| ANNUAL REPORT | 2003-01-31 |
| ANNUAL REPORT | 2002-04-22 |
| ANNUAL REPORT | 2001-01-17 |
| ANNUAL REPORT | 2000-07-24 |
| REINSTATEMENT | 1999-10-15 |
| ANNUAL REPORT | 1998-02-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
