| Entity Name: | F. A. HAUBER, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Aug 1996 (28 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P96000070534 |
| FEI/EIN Number | 593395522 |
| Address: | 5347 MAIN STREET STE 100, NEW PORT RICHEY, FL, 34652 |
| Mail Address: | 5347 MAIN STREET STE 100, NEW PORT RICHEY, FL, 34652 |
| ZIP code: | 34652 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811084783 | 2006-10-10 | 2014-03-18 | 5347 MAIN STREET, SUITE 100, NEW PORT RICHEY, FL, 346522506, US | 5347 MAIN STREET, SUITE 100, NEW PORT RICHEY, FL, 346522506, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 727-847-4448 |
| Fax | 7278451572 |
Authorized person
| Name | MRS. JENNIFER J MAHER |
| Role | ADMINISTRATOR |
| Phone | 7278474448 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | No |
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | ME0025741 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0897190001 |
| State | FL |
| Issuer | MEDICAID |
| Number | 056786800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GULECAS JAMES F | Agent | 1968 BAYSHORE BLVD, DUNEDIN, FL, 34698 |
| Name | Role | Address |
|---|---|---|
| HAUBER FREDERICK A | President | 5347 MAIN STREET STE 100, NEW PORT RICHEY, FL, 34652 |
| Name | Role | Address |
|---|---|---|
| HAUBER FREDERICK A | Director | 5347 MAIN STREET STE 100, NEW PORT RICHEY, FL, 34652 |
| Name | Role | Address |
|---|---|---|
| HAUBER FREDERICK A | Secretary | 5347 MAIN STREET STE 100, NEW PORT RICHEY, FL, 34652 |
| Name | Role | Address |
|---|---|---|
| HAUBER FREDERICK A | Treasurer | 5347 MAIN STREET STE 100, NEW PORT RICHEY, FL, 34652 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2015-10-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-28 | GULECAS, JAMES F | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-04-30 | 1968 BAYSHORE BLVD, DUNEDIN, FL 34698 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-04-27 |
| REINSTATEMENT | 2015-10-28 |
| ANNUAL REPORT | 2014-06-12 |
| ANNUAL REPORT | 2013-04-18 |
| ANNUAL REPORT | 2012-03-21 |
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
