| Entity Name: | HEARTLAND INTERNAL MEDICINE ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Apr 1995 (30 years ago) |
| Document Number: | P95000032878 |
| FEI/EIN Number | 650581353 |
| Address: | 4301 SUN 'N LAKE BLVD., SUITE 103, SEBRING, FL, 33872, US |
| Mail Address: | 4301 SUN 'N LAKE BLVD., SUITE 103, SEBRING, FL, 33872, US |
| ZIP code: | 33872 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912934266 | 2006-06-26 | 2020-08-22 | 4301 SUN N LAKE BLVD, SUITE 103, SEBRING, FL, 338722162, US | 4301 SUN N LAKE BLVD, SUITE 103, SEBRING, FL, 338722162, US | |||||||||||||||
|
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| Phone | +1 863-385-8010 |
| Fax | 8633858144 |
Authorized person
| Name | JORGE F GONZALEZ |
| Role | OWNER |
| Phone | 8633858010 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOBOZZO JAMES V | Agent | 230 SOUTH COMMERCE AVE, SEBRING, FL, 33870 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ JORGE F | Director | 4301 SUN N LAKE BLVD., SEBRING, FL, 33872 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REINSTATEMENT | 2002-07-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
