| Entity Name: | KEITH J. SIMON, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 May 1997 (28 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P97000047878 |
| FEI/EIN Number | 593448676 |
| Mail Address: | 16528 N DALE MABRY HWY, TAMPA, FL, 33618, US |
| Address: | 916 ACADEMY DR., BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| SANDERS BRIAN | Agent | 16528 N DALE MABRY HWY, TAMPA, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| SIMON KEITH J | President | 916 ACADEMY DR., BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-05-21 | SANDERS, BRIAN | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-24 | 916 ACADEMY DR., BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-24 | 916 ACADEMY DR., BRANDON, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-25 | 16528 N DALE MABRY HWY, TAMPA, FL 33618 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-05-21 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-20 |
| ANNUAL REPORT | 2013-01-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
