| Entity Name: | SUNCOAST PATHOLOGY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 21 Nov 1994 (30 years ago) |
| Date of dissolution: | 17 Dec 2021 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Dec 2021 (3 years ago) |
| Document Number: | P94000085592 |
| FEI/EIN Number | 65-0541347 |
| Address: | 446 S TAMIAMI TRAIL, 2ND FL, VENICE, FL 34285 |
| Mail Address: | 446 S TAMIAMI TRAIL, 2ND FL, VENICE, FL 34285 |
| ZIP code: | 34285 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487601233 | 2006-05-27 | 2011-08-18 | 446 TAMIAMI TRL S, SECOND FLOOR, VENICE, FL, 342852625, US | 446 TAMIAMI TRL S, SECOND FLOOR, VENICE, FL, 342852625, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-483-3319 |
| Fax | 9414833406 |
Authorized person
| Name | WILLIAM G ROTH |
| Role | VICE PRESIDENT/SECRETARY |
| Phone | 9414833319 |
Taxonomy
| Taxonomy Code | 207ZC0500X - Cytopathology Physician |
| License Number | 800000658 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207ZD0900X - Dermatopathology (Pathology) Physician |
| License Number | 800000658 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207ZI0100X - Immunopathology Physician |
| License Number | 800000658 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician |
| License Number | 800000658 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207ZP0105X - Clinical Pathology/Laboratory Medicine Physician |
| License Number | 800000658 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002870300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROTH, WILLIAM GMD | Agent | 446 S TAMIAMI TRAIL, 2ND FLOOR, VENICE, FL 34285 |
| Name | Role | Address |
|---|---|---|
| WHISNANT, RICHARD EM.D. | President | 446 S TAMIAMI TRAIL 2ND FL, VENICE, FL 34285 |
| Name | Role | Address |
|---|---|---|
| WHISNANT, RICHARD EM.D. | Treasurer | 446 S TAMIAMI TRAIL 2ND FL, VENICE, FL 34285 |
| Name | Role | Address |
|---|---|---|
| ROTH, WILLIAM GM.D. | Vice President | 446 S TAMIAMI TRAIL 2ND FL, VENICE, FL 34285 |
| Name | Role | Address |
|---|---|---|
| ROTH, WILLIAM GM.D. | Secretary | 446 S TAMIAMI TRAIL 2ND FL, VENICE, FL 34285 |
| Name | Role | Address |
|---|---|---|
| MERRITT, JENNIFER | BUSINESS MANAGER | 446 S TAMIAMI TRAIL, 2ND FL VENICE, FL 34285 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000086226 | SUNCOAST PATHOLOGY RIALTO LABORATORY | ACTIVE | 2015-08-20 | 2025-12-31 | No data | 540 THE RIALTO, VENICE, FL, 34285 |
| G11000079168 | HEALTH PARK SURGERY CENTER | EXPIRED | 2011-08-09 | 2016-12-31 | No data | 1201 JACARANDA BLVD, VENICE, FL, 34292 |
| G11000079163 | SUNCOAST PATHOLOGY AT ST ANDREWS | EXPIRED | 2011-08-09 | 2016-12-31 | No data | 1350 E VENICE AVENUE, VENICE, FL, 34285 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-12-17 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-07-26 | ROTH, WILLIAM GMD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-07-26 | 446 S TAMIAMI TRAIL, 2ND FLOOR, VENICE, FL 34285 | No data |
| AMENDMENT | 2006-11-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1998-01-28 | 446 S TAMIAMI TRAIL, 2ND FL, VENICE, FL 34285 | No data |
| CHANGE OF MAILING ADDRESS | 1998-01-28 | 446 S TAMIAMI TRAIL, 2ND FL, VENICE, FL 34285 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2021-12-17 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-15 |
| ANNUAL REPORT | 2015-04-10 |
| ANNUAL REPORT | 2014-01-22 |
| ANNUAL REPORT | 2013-03-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
