| Entity Name: | BERNARD F. GERMAIN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 29 Jul 1996 (29 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Dec 2023 (a year ago) |
| Document Number: | P96000063023 |
| FEI/EIN Number | 59-2235385 |
| Address: | 15416 N Florida Ave, TAMPA, FL 33613 |
| Mail Address: | 5919 Memorial Hwy, Suite 150, Tampa, FL 33634 |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| Jackson, Matt | Agent | 15416 North Florida Ave, Tampa, FL 33613 |
| Name | Role | Address |
|---|---|---|
| FORMAN, SETH B, M.D. | President | 16225 VILLARREAL DE AVILA, TAMPA, FL 33613 |
| Name | Role | Address |
|---|---|---|
| FORMAN, SETH B, M.D. | Director | 16225 VILLARREAL DE AVILA, TAMPA, FL 33613 |
| Name | Role | Address |
|---|---|---|
| Jackson, Matt | Chief Financial Officer | 5919 Memorial Hwy, Suite 150 Tampa, FL 33634 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000153455 | FORCARE DERMATOLOGY | ACTIVE | 2023-12-18 | 2028-12-31 | No data | 4197 WOODLANDS PKWY, PALM HARBOR, FL, 34685 |
| G18000068545 | FORCARE MEDICAL GROUP | EXPIRED | 2018-06-15 | 2023-12-31 | No data | 13801 BRUCE B DOWNS BLVD., SUITE 101, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-12-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-12-12 | Jackson, Matt | No data |
| CHANGE OF MAILING ADDRESS | 2023-12-12 | 15416 N Florida Ave, TAMPA, FL 33613 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-13 | 15416 North Florida Ave, Tampa, FL 33613 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-13 | 15416 N Florida Ave, TAMPA, FL 33613 | No data |
| AMENDMENT | 2018-06-14 | No data | No data |
| REINSTATEMENT | 2001-01-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| REINSTATEMENT | 2023-12-12 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-02-13 |
| ANNUAL REPORT | 2019-02-11 |
| Amendment | 2018-06-14 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-04-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
