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LIAN JEN, D.O., P.A. - Florida Company Profile

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Company Details

Entity Name: LIAN JEN, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Apr 1999 (26 years ago)
Document Number: P99000034579
FEI/EIN Number 593574791
Address: 3089 TAMIAMI TRAIL, UNIT B, PORT CHARLOTTE, FL, 33952
Mail Address: 2300 SANDY PINE DR, PUNTA GORDA, FL, 33982
ZIP code: 33952
City: Port Charlotte
County: Charlotte
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JEN LIAN Director 2300 SANDY PINES DR, PUNTA GORDA, FL, 33982
JEN LIAN Agent 2300 SANDY PINE SR, PUNTA GORDA, FL, 33982

National Provider Identifier

NPI Number:
1588762058

Authorized Person:

Name:
DR. LIAN JEN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
9416272785

Form 5500 Series

Employer Identification Number (EIN):
593574791
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
4
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2007-01-09 3089 TAMIAMI TRAIL, UNIT B, PORT CHARLOTTE, FL 33952 -
REGISTERED AGENT NAME CHANGED 2005-01-03 JEN, LIAN -
CHANGE OF MAILING ADDRESS 2000-01-20 3089 TAMIAMI TRAIL, UNIT B, PORT CHARLOTTE, FL 33952 -
REGISTERED AGENT ADDRESS CHANGED 2000-01-20 2300 SANDY PINE SR, PUNTA GORDA, FL 33982 -

Documents

Name Date
ANNUAL REPORT 2025-01-18
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-01-17
ANNUAL REPORT 2020-02-15
ANNUAL REPORT 2019-03-31
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-03-08

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Date of last update: 03 Aug 2025

Sources: Florida Department of State