| Entity Name: | DAVID A. PETERSEN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Sep 1996 (28 years ago) |
| Document Number: | P96000077869 |
| FEI/EIN Number | 593402417 |
| Address: | 1000 LAKEVIEW RD, #2, CLEARWATER, FL, 33756, US |
| Mail Address: | 1000 LAKEVIEW RD, #2, CLEARWATER, FL, 33756, US |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| PETERSEN DAVID A | Agent | 1000 LAKEVIEW RD, #2, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| PETERSEN DAVID A | President | 1000 LAKEVIEW RD, #2, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| PETERSEN DAVID A | Secretary | 1000 LAKEVIEW RD, #2, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| PETERSEN DAVID A | Treasurer | 1000 LAKEVIEW RD, #2, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| PETERSEN DAVID A | Director | 1000 LAKEVIEW RD, #2, CLEARWATER, FL, 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2016-10-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
