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LUCIANO BOEMI, M.D.,P.A.

Company Details

Entity Name: LUCIANO BOEMI, M.D.,P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 23 Jul 1998 (27 years ago)
Date of dissolution: 21 Dec 2011 (13 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 21 Dec 2011 (13 years ago)
Document Number: P98000065035
FEI/EIN Number 593524496
Address: 11181 HEALTH PARK BLVD., SUITE 1115, NAPLES, FL, 34110, US
Mail Address: 11181 HEALTH PARK BLVD., SUITE 1115, NAPLES, FL, 34110, US
ZIP code: 34110
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235373937 2009-04-24 2009-04-24 11181 HEALTH PARK BLVD STE 1115, NAPLES, FL, 341105742, US 11181 HEALTH PARK BLVD STE 1115, NAPLES, FL, 341105742, US

Contacts

Phone +1 239-594-9100
Fax 2395943054

Authorized person

Name MRS. CASSIE JANE BOEMI
Role VICE PRESIDENT
Phone 2395949100

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME 0075944
State FL
Is Primary Yes

Agent

Name Role Address
NICI JAMES R Agent 1185 IMMOKALEE ROAD, NAPLES, FL, 34110

Director

Name Role Address
WILSON ALLAN Director 1415 PANTHER LANE, NAPLES, FL, 34109

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2011-12-21 No data No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-29 1185 IMMOKALEE ROAD, SUITE 110, NAPLES, FL 34110 No data
CHANGE OF PRINCIPAL ADDRESS 2009-01-26 11181 HEALTH PARK BLVD., SUITE 1115, NAPLES, FL 34110 No data
CHANGE OF MAILING ADDRESS 2009-01-26 11181 HEALTH PARK BLVD., SUITE 1115, NAPLES, FL 34110 No data
REGISTERED AGENT NAME CHANGED 2005-04-07 NICI, JAMES RESQ. No data

Documents

Name Date
Voluntary Dissolution 2011-12-21
ANNUAL REPORT 2011-04-29
ANNUAL REPORT 2010-02-04
ANNUAL REPORT 2009-01-26
ANNUAL REPORT 2008-01-31
ANNUAL REPORT 2007-04-12
ANNUAL REPORT 2007-01-27
ANNUAL REPORT 2006-01-09
ANNUAL REPORT 2005-04-07
ANNUAL REPORT 2005-01-13

Date of last update: 02 Feb 2025

Sources: Florida Department of State