| Entity Name: | FOR WOMEN, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 22 Nov 1994 (30 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P94000085080 |
| FEI/EIN Number | 65-0535864 |
| Address: | 1570 COLONIAL BLVD, FORT MYERS, FL 33907 |
| Mail Address: | 1570 COLONIAL BLVD, FORT MYERS, FL 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053470724 | 2006-12-08 | 2020-08-22 | 1570 COLONIAL BLVD, SUITE A, FORT MYERS, FL, 33907, US | 1570 COLONIAL BLVD, SUITE A, FORT MYERS, FL, 33907, US | |||||||||||||||||||
|
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| Phone | +1 239-939-2229 |
| Fax | 2399390399 |
Authorized person
| Name | DR. JANE AILENE DANIEL |
| Role | PRESIDENT |
| Phone | 2399392229 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | ME0062545 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FORMAN, ROBERT | Agent | 12800 UNIVERSITY DR., SUITE 600, FORT MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| DANIEL, JANE A | President | 1570 COLONIAL BLVD, FT MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| DANIEL, JANE A | Secretary | 1570 COLONIAL BLVD, FT MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| DANIEL, JANE A | Treasurer | 1570 COLONIAL BLVD, FT MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| DANIEL, JANE A | Director | 1570 COLONIAL BLVD, FT MYERS, FL 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1998-04-03 | 1570 COLONIAL BLVD, FORT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 1998-04-03 | 1570 COLONIAL BLVD, FORT MYERS, FL 33907 | No data |
| REGISTERED AGENT NAME CHANGED | 1997-05-16 | FORMAN, ROBERT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1997-05-16 | 12800 UNIVERSITY DR., SUITE 600, FORT MYERS, FL 33907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-04-07 |
| ANNUAL REPORT | 2014-03-05 |
| ANNUAL REPORT | 2013-04-22 |
| ANNUAL REPORT | 2012-04-03 |
| ANNUAL REPORT | 2011-04-27 |
| ANNUAL REPORT | 2010-04-13 |
| ANNUAL REPORT | 2009-04-20 |
| ANNUAL REPORT | 2008-04-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
