| Entity Name: | DAVID A. LEVINE, M.D., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Sep 1997 (27 years ago) |
| Document Number: | P97000078414 |
| FEI/EIN Number | 593472200 |
| Address: | 4957 38TH AVENUE NORTH, SUITE B, ST PETERSBURG, FL, 33710 |
| Mail Address: | 4957 38TH AVENUE NORTH, SUITE B, ST PETERSBURG, FL, 33710 |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275853590 | 2010-06-09 | 2010-06-09 | 4957 38TH AVE N, SUITE B, ST PETERSBURG, FL, 337102174, US | 4957 38TH AVE N, SUITE B, ST PETERSBURG, FL, 337102174, US | |||||||||||||||||||
|
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| Phone | +1 727-522-8878 |
| Fax | 7275211192 |
Authorized person
| Name | DAVID A LEVINE |
| Role | OWNER/PRESIDENT |
| Phone | 7275228878 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| License Number | ME51828 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEVINE DAVID AM.D. | Agent | 4957 38TH AVE. NORTH, ST. PETE, FL, 33710 |
| Name | Role | Address |
|---|---|---|
| LEVINE DAVID A | President | 4957 38TH AVENUE NORTH, SUITE B, ST PETERSBURG, FL, 33710 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-03-25 | LEVINE, DAVID A, M.D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-22 | 4957 38TH AVE. NORTH, SUITE B, ST. PETE, FL 33710 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-04-10 |
| ANNUAL REPORT | 2019-06-14 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-03-07 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-01-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
