| Entity Name: | DAVID R. BRUNETTI, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Jun 1999 (26 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P99000053648 |
| FEI/EIN Number | 593581535 |
| Address: | 616 NORTH PALMETTO, LEESBURG, FL, 34748 |
| Mail Address: | 2018 Castelli Boulevard, Mount Dora, FL, 32757, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043498660 | 2008-02-06 | 2008-04-24 | 616 N PALMETTO ST, LEESBURG, FL, 347484417, US | 616 N PALMETTO ST, LEESBURG, FL, 347484417, US | |||||||||||||||
|
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| Phone | +1 352-787-4567 |
| Fax | 3527870370 |
Authorized person
| Name | DAVID R BRUNETTI |
| Role | OWNER |
| Phone | 3527874567 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRUNETTI DAVID R | Agent | 616 NORTH PALMETTO, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| BRUNETTI DAVID R | Director | 616 NORTH PALMETTO, LEESBURG, FL, 34748 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-16 | 616 NORTH PALMETTO, LEESBURG, FL 34748 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-14 |
| ANNUAL REPORT | 2013-04-16 |
| ANNUAL REPORT | 2012-03-26 |
| ANNUAL REPORT | 2011-02-24 |
| ANNUAL REPORT | 2010-02-25 |
| ANNUAL REPORT | 2009-03-31 |
| ANNUAL REPORT | 2008-03-05 |
| ANNUAL REPORT | 2007-02-06 |
| ANNUAL REPORT | 2006-02-09 |
| ANNUAL REPORT | 2005-01-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
