| Entity Name: | KIM B. POWERS, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Mar 1999 (26 years ago) |
| Document Number: | P99000020452 |
| FEI/EIN Number | 593563740 |
| Address: | 7800 66TH STREET N, STE 206, PINELLAS PARK, FL, 33781, US |
| Mail Address: | 202 Flamingo Dr, Belleair, FL, 33756, US |
| ZIP code: | 33781 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780955997 | 2012-01-19 | 2012-01-19 | 7800 66TH ST N STE 105, PINELLAS PARK, FL, 337812101, US | 7800 66TH ST N STE 105, PINELLAS PARK, FL, 337812101, US | |||||||||||||||||||
|
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| Phone | +1 727-541-0323 |
| Fax | 7275410336 |
Authorized person
| Name | KIM BARTHOLOMEW POWERS |
| Role | OWNER |
| Phone | 7275410323 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| License Number | OS6697 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAW WILLIAM B | Agent | 18395 GULF BLVD., STE. 203, INDIAN SHORES, FL, 33785 |
| Name | Role | Address |
|---|---|---|
| POWERS KIM B | President | 202 Flamingo Dr, Belleair, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| POWERS KIM B | Director | 202 Flamingo Dr, Belleair, FL, 33756 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000017260 | THE CENTER FOR SEXUAL HEALTH | EXPIRED | 2011-02-15 | 2016-12-31 | No data | 7800 66TH ST N SUITE 105, PINELLAS PARK, FL, 33781 |
| G11000017262 | CENTER FOR SEXUAL HEALTH | EXPIRED | 2011-02-15 | 2016-12-31 | No data | 7800 66TH ST N SUITE 105, PINELLAS PARK, FL, 33781 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-29 | 7800 66TH STREET N, STE 206, PINELLAS PARK, FL 33781 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-29 | 7800 66TH STREET N, STE 206, PINELLAS PARK, FL 33781 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-04-30 | 18395 GULF BLVD., STE. 203, INDIAN SHORES, FL 33785 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-06-29 |
| ANNUAL REPORT | 2016-05-02 |
| ANNUAL REPORT | 2015-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
