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JEFFREY S. BEARD, M.D., P.A.

Company Details

Entity Name: JEFFREY S. BEARD, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 27 Aug 1997 (27 years ago)
Date of dissolution: 27 Sep 2024 (4 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (4 months ago)
Document Number: P97000074652
FEI/EIN Number 65-0778513
Address: 5953 17th AVE W, BRADENTON, FL 34209
Mail Address: 5953 17th AVE W, BRADENTON, FL 34209
ZIP code: 34209
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548225329 2006-04-18 2020-08-22 1416 59TH ST W, BRADENTON, FL, 342094607, US 1416 59TH ST W, BRADENTON, FL, 342094607, US

Contacts

Phone +1 941-794-5246
Fax 9417922751

Authorized person

Name DR. JEFFREY S. BEARD
Role OWNER
Phone 9417945246

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
License Number ME66913
State FL
Is Primary Yes

Agent

Name Role Address
BEARD, JEFFREY S M Agent 5953 17th AVE W, BRADENTON, FL 34209

President

Name Role Address
BEARD, JEFFREY S President 5953 17th AVE W, BRADENTON, FL 34209

Director

Name Role Address
BEARD, JEFFREY S Director 5953 17th AVE W, BRADENTON, FL 34209

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-03-10 5953 17th AVE W, BRADENTON, FL 34209 No data
CHANGE OF MAILING ADDRESS 2020-03-10 5953 17th AVE W, BRADENTON, FL 34209 No data
REGISTERED AGENT ADDRESS CHANGED 2020-03-10 5953 17th AVE W, BRADENTON, FL 34209 No data
REGISTERED AGENT NAME CHANGED 1998-05-01 BEARD, JEFFREY S M No data

Documents

Name Date
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-10
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-03-01
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-04-23
ANNUAL REPORT 2014-04-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State