| Entity Name: | HOPKINS SURGICAL ASSISTANCE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Sep 1995 (29 years ago) |
| Document Number: | P95000072979 |
| FEI/EIN Number | 593333190 |
| Address: | 1717 Mountain Ash Way, New Port Richey, FL, 34655, US |
| Mail Address: | 36181 EAST LAKE RD #390, PALM HARBOR, FL, 34685 |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417036450 | 2006-11-02 | 2015-07-07 | 36181 E LAKE RD # 390, PALM HARBOR, FL, 346853142, US | 36181 E LAKE RD # 390, PALM HARBOR, FL, 346853142, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-781-8685 |
| Fax | 7277862852 |
Authorized person
| Name | MRS. BEVERLY HOPKINS |
| Role | VP/SEC |
| Phone | 7277818685 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| License Number | PA2314 & PA2614 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD GROUP # |
| Number | DC7366 |
| State | FL |
| Issuer | BCBS GROUP # |
| Number | X1569 |
| State | FL |
| Issuer | MEDICAID |
| Number | 291686000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOPKINS ROBERT J | Agent | 36181 EAST LAKE RD #390, PALM HARBOR, FL, 34685 |
| Name | Role | Address |
|---|---|---|
| HOPKINS ROBERT J | President | 1717 Mountain Ash Way, New Port Richey, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| HOPKINS BEVERLY J | Vice President | 1717 Mountain Ash Way, New Port Richey, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| HOPKINS BEVERLY J | Secretary | 1717 Mountain Ash Way, New Port Richey, FL, 34655 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-21 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2002-05-08 | HOPKINS SURGICAL ASSISTANCE, INC. | No data |
| AMENDMENT AND NAME CHANGE | 2000-02-22 | ROBERT J. HOPKINS, P.A.-C., INC. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
