| Entity Name: | NANCY HUNDT, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Jul 1999 (26 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P99000067294 |
| FEI/EIN Number | 650934078 |
| Address: | 25086 OLYMPIA AVE, SUITE 320, PUNTA GORDA, FL, 33950 |
| Mail Address: | 25086 OLYMPIA AVE, SUITE 320, PUNTA GORDA, FL, 33950 |
| ZIP code: | 33950 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871752964 | 2008-06-04 | 2008-06-04 | 25086 OLYMPIA AVE, SUITE 320, PUNTA GORDA, FL, 339503933, US | 25086 OLYMPIA AVE, SUITE 320, PUNTA GORDA, FL, 339503933, US | |||||||||||||||||||||||||
|
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| Phone | +1 941-505-5500 |
| Fax | 9415055501 |
Authorized person
| Name | DR. NANCY HUNDT |
| Role | OWNER/PHYSICIAN |
| Phone | 9415055500 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0071843 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 42836 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HUNDT NANCY M | Agent | 25086 OLYMPIA AVE, PUNTA GORDA, FL, 33950 |
| Name | Role | Address |
|---|---|---|
| HUNDT NANCY M | President | 25086 OLYMPIA AVE, SUITE 320, PUNTA GORDA, FL, 33950 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-27 | 25086 OLYMPIA AVE, SUITE 320, PUNTA GORDA, FL 33950 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-10-08 | 25086 OLYMPIA AVE, SUITE 320, PUNTA GORDA, FL 33950 | No data |
| CHANGE OF MAILING ADDRESS | 2007-10-08 | 25086 OLYMPIA AVE, SUITE 320, PUNTA GORDA, FL 33950 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-23 |
| ANNUAL REPORT | 2016-04-17 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-04-25 |
| ANNUAL REPORT | 2013-04-26 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-18 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
