| Entity Name: | SCOTT E. MILLER, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Oct 1998 (26 years ago) |
| Document Number: | P98000084964 |
| FEI/EIN Number | 593538046 |
| Address: | 5039 CENTRAL AVENUE, SAINT PETERSBURG, FL, 33710-8240, US |
| Mail Address: | 5039 CENTRAL AVENUE, SAINT PETERSBURG, FL, 33710-8240, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184737850 | 2006-08-16 | 2009-12-23 | 5039 CENTRAL AVE, ST PETERSBURG, FL, 337108240, US | 8455 66TH ST, PINELLAS PARK, FL, 337811206, US | |||||||||||||||||||||||
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| Phone | +1 727-344-1463 |
| Fax | 7273433539 |
| Phone | +1 727-545-2339 |
| Fax | 7275450289 |
Authorized person
| Name | DR. SCOTT EDWARD MILLER |
| Role | PRESIDENT |
| Phone | 7273441463 |
Taxonomy
| Taxonomy Code | 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician |
| License Number | ME0049827 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER SCOTT E | Agent | 5039 CENTRAL AVENUE, ST PETERSBURG, FL, 337108240 |
| Name | Role | Address |
|---|---|---|
| MILLER SCOTT E | President | 5039 CENTRAL AVENUE, SAINT PETERSBURG, FL, 337108240 |
| Name | Role | Address |
|---|---|---|
| MILLER SCOTT E | Secretary | 5039 CENTRAL AVENUE, SAINT PETERSBURG, FL, 337108240 |
| Name | Role | Address |
|---|---|---|
| MILLER SCOTT E | Treasurer | 5039 CENTRAL AVENUE, SAINT PETERSBURG, FL, 337108240 |
| Name | Role | Address |
|---|---|---|
| MILLER SCOTT E | Director | 5039 CENTRAL AVENUE, SAINT PETERSBURG, FL, 337108240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2011-02-24 | MILLER, SCOTT E | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-02-14 | 5039 CENTRAL AVENUE, SAINT PETERSBURG, FL 33710-8240 | No data |
| CHANGE OF MAILING ADDRESS | 2008-02-14 | 5039 CENTRAL AVENUE, SAINT PETERSBURG, FL 33710-8240 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-03-13 | 5039 CENTRAL AVENUE, ST PETERSBURG, FL 33710-8240 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-02-14 |
| ANNUAL REPORT | 2019-01-18 |
| ANNUAL REPORT | 2018-02-10 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-02-06 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
