| Entity Name: | AMERISPAN MULTISPECIALTY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Mar 1994 (31 years ago) |
| Date of dissolution: | 23 Jan 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Jan 2019 (6 years ago) |
| Document Number: | P94000024169 |
| FEI/EIN Number | 650478222 |
| Address: | 1313 SW 27TH AVE, MIAMI, FL, 33145 |
| Mail Address: | 1313 SW 27TH AVE, MIAMI, FL, 33145 |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962538249 | 2007-02-23 | 2014-01-13 | 1313 SW 27TH AVENUE, MIAMI, FL, 33145, US | 1313 SW 27TH AVENUE, MIAMI, FL, 33145, US | |||||||||||||||||||||
|
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| Phone | +1 305-858-2228 |
| Fax | 3055413220 |
Authorized person
| Name | FRED S MANN |
| Role | PRESIDENT |
| Phone | 3058582228 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 375243700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANN, FRED S. | Agent | 1313 SW 27TH AVENUE, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| MANN, FRED S., M.D. | President | 1313 SW 27TH AVE, MIAMI, FL, 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-01-23 | No data | No data |
| CANCEL ADM DISS/REV | 2006-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1995-11-02 | 1313 SW 27TH AVENUE, MIAMI, FL 33145 | No data |
| REINSTATEMENT | 1995-11-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 1995-11-02 | MANN, FRED S. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-01-23 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-03-11 |
| ANNUAL REPORT | 2012-01-06 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-01-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
