| Entity Name: | BERGE MARCARIAN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Dec 1998 (26 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: | P98000103087 |
| FEI/EIN Number | 593544519 |
| Address: | 4551 U. S. 90 WEST, SUITE 101, LAKE CITY, FL, 32055 |
| Mail Address: | 9250 BAYMEADOWS RD., SUITE 450, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851456560 | 2006-12-22 | 2020-08-22 | PO BOX 1359, LAKE CITY, FL, 320561359, US | 4551 W US HIGHWAY 90, SUITE 101, LAKE CITY, FL, 320554879, US | |||||||||||||||||||
|
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| Phone | +1 386-719-9993 |
| Fax | 3867194744 |
Authorized person
| Name | DR. BERGE MARCARIAN |
| Role | PRESIDENT |
| Phone | 3867199993 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| License Number | ME71870 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COLEMAN C. RANDOLPH | Agent | 9250 BAYMEADOWS RD., SUITE 450, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| MARCARIAN BERGE M | Director | 4551 US. 90 WEST, SUITE 101, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-15 | 4551 U. S. 90 WEST, SUITE 101, LAKE CITY, FL 32055 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-02-02 | COLEMAN, C. RANDOLPH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-02 | 9250 BAYMEADOWS RD., SUITE 450, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-05-07 | 4551 U. S. 90 WEST, SUITE 101, LAKE CITY, FL 32055 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-03-15 |
| Reg. Agent Change | 2010-02-02 |
| ANNUAL REPORT | 2009-04-16 |
| ANNUAL REPORT | 2008-04-23 |
| ANNUAL REPORT | 2007-04-26 |
| ANNUAL REPORT | 2006-04-17 |
| ANNUAL REPORT | 2005-04-11 |
| ANNUAL REPORT | 2004-04-22 |
| ANNUAL REPORT | 2003-04-24 |
| ANNUAL REPORT | 2002-05-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
