| Entity Name: | ALAN GUMER M.D. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Feb 1998 (27 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P98000016022 |
| FEI/EIN Number | 65-0813892 |
| Address: | 1515 N UNIVERSITY DR, 203A, CORAL SPRINGS, FL 33071 |
| Mail Address: | 1515 N UNIVERSITY DR., 203A, CORAL SPRINGS, FL 33071 |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285934166 | 2010-10-26 | 2010-10-26 | PO BOX 450729, SUNRISE, FL, 333450729, US | 1001 W COMMERCIAL BLVD, FT LAUDERDALE, FL, 333093148, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-522-3360 |
| Fax | 3056750492 |
Authorized person
| Name | ALAN A GUMER |
| Role | PSYCHIATRIST/OWNER |
| Phone | 9545223360 |
Taxonomy
| Taxonomy Code | 273R00000X - Psychiatric Hospital Unit |
| License Number | ME0022101 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 283Q00000X - Psychiatric Hospital |
| License Number | ME0022101 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 053817500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GUMER, ALAN | Agent | 1515 N UNIVERSITY DR, 203A, CORAL SPRINGS, FL 33071 |
| Name | Role | Address |
|---|---|---|
| GUMER, ALAN | President | 1515 N UNIVERSITY DR., CORAL SPRINGS, FL 33071 |
| Name | Role | Address |
|---|---|---|
| GUMER, ALAN | Secretary | 1515 N UNIVERSITY DR., CORAL SPRINGS, FL 33071 |
| Name | Role | Address |
|---|---|---|
| GUMER, ALAN | Director | 1515 N UNIVERSITY DR., CORAL SPRINGS, FL 33071 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-28 | 1515 N UNIVERSITY DR, 203A, CORAL SPRINGS, FL 33071 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-28 | 1515 N UNIVERSITY DR, 203A, CORAL SPRINGS, FL 33071 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-28 | 1515 N UNIVERSITY DR, 203A, CORAL SPRINGS, FL 33071 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-28 |
| ANNUAL REPORT | 2008-05-12 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-04-29 |
| ANNUAL REPORT | 2004-04-28 |
| ANNUAL REPORT | 2003-05-02 |
| ANNUAL REPORT | 2002-05-24 |
| ANNUAL REPORT | 2001-05-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
