| Entity Name: | JAMES C. MARSHALL, D.O., F.A.C.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Oct 1997 (27 years ago) |
| Document Number: | P97000092741 |
| FEI/EIN Number | 59-3483661 |
| Address: | 13121 Cimarron Circle North, LARGO, FL 33774 |
| Mail Address: | P.O. 4577, SEMINOLE, FL 33775 |
| ZIP code: | 33774 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083743165 | 2007-03-05 | 2012-07-06 | PO BOX 4577, SEMINOLE, FL, 337754577, US | 12600 SEMINOLE BLVD, SUITE A-3, LARGO, FL, 337782201, US | |||||||||||||||||||||||||
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| Phone | +1 727-585-3610 |
| Fax | 7275854405 |
Authorized person
| Name | JAMES CLIFFORD MARSHALL |
| Role | OWNER |
| Phone | 7275853610 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | OS6394 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 371465900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARSHALL, JAMES C | Agent | PO 4577, Seminole, FL 33775 |
| Name | Role | Address |
|---|---|---|
| MARSHALL, JAMES C | Director | PO 4577, SEMINOLE, FL 33775 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-09 | 13121 Cimarron Circle North, LARGO, FL 33774 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-09 | 13121 Cimarron Circle North, LARGO, FL 33774 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-26 | PO 4577, Seminole, FL 33775 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
