| Entity Name: | SERGIO B. SEOANE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Apr 1999 (26 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 May 2022 (3 years ago) |
| Document Number: | P99000031168 |
| FEI/EIN Number | 650911180 |
| Address: | 118 ALLAMANDA DRIVE, LAKELAND, FL, 33803, US |
| Mail Address: | P.O. BOX 2717, Lakeland, FL, 33806, US |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417105693 | 2008-08-30 | 2008-08-30 | PO BOX 2186, BARTOW, FL, 338312186, US | 118 ALLAMANDA DR, LAKELAND, FL, 338032926, US | |||||||||||||
|
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| Phone | +1 863-644-2204 |
Authorized person
| Name | DR. SERGIO B. SEOANE |
| Role | PRESIDENT |
| Phone | 8636442204 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SEOANE SERGIO B | Agent | 4324 Forest Hills Drive, Lakeland, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| SEOANE SERGIO B | President | P.O. BOX 2717, Lakeland, FL, 33806 |
| Name | Role | Address |
|---|---|---|
| SEOANE SERGIO B | Director | P.O. BOX 2717, Lakeland, FL, 33806 |
| Name | Role | Address |
|---|---|---|
| SEOANE DEBRA L | Vice President | P.O. BOX 2717, Lakeland, FL, 33806 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000068321 | SMART HEALTHCHOICE | ACTIVE | 2019-06-17 | 2029-12-31 | No data | PO BOX 2717, LAKELAND, FL, 33806 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-05-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-05-21 | SEOANE, SERGIO B | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-07 | 118 ALLAMANDA DRIVE, LAKELAND, FL 33803 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-15 | 4324 Forest Hills Drive, Lakeland, FL 33813 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-15 | 118 ALLAMANDA DRIVE, LAKELAND, FL 33803 | No data |
| AMENDMENT AND NAME CHANGE | 2007-02-06 | SERGIO B. SEOANE, M.D., P.A. | No data |
| AMENDMENT | 2004-12-06 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2004-10-27 | EXPRESS MED EMERGENCY CARE CENTER, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-21 |
| REINSTATEMENT | 2022-05-21 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-03-26 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
