| Entity Name: | GEORGE CARROLL MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Oct 1999 (25 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 21 Oct 2011 (13 years ago) |
| Document Number: | P99000087808 |
| FEI/EIN Number | 593599731 |
| Mail Address: | 235 South Maitland Avenue, SUITE 206, MAITLAND, FL, 32751, US |
| Address: | 235 South Maitland AVenue, SUITE 206, MAITLAND, FL, 32751, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740312636 | 2007-03-09 | 2011-09-22 | 100 EAST SYBELIA AVENUE, SUITE 140, MAITLAND, FL, 327514750, US | 100 EAST SYBELIA AVE, SUITE 140, MAITLAND, FL, 327514750, US | |||||||||||||||||
|
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| Phone | +1 407-894-9959 |
Authorized person
| Name | GEORGE WILLIAM CARROLL |
| Role | PRESIDENT |
| Phone | 4078949959 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME48111 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARROLL GEORGE | Agent | 235 South Maitland AVenue, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| CARROLL GEORGE | Director | 235 South Maitland AVenue, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| CARROLL GEORGE | President | 235 South Maitland AVenue, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| CARROLL GEORGE | Secretary | 235 South Maitland AVenue, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| CARROLL GEORGE | Treasurer | 235 South Maitland AVenue, MAITLAND, FL, 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-02 | 235 South Maitland AVenue, SUITE 206, MAITLAND, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-02 | 235 South Maitland AVenue, SUITE 206, MAITLAND, FL 32751 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 235 South Maitland AVenue, SUITE 206, MAITLAND, FL 32751 | No data |
| NAME CHANGE AMENDMENT | 2011-10-21 | GEORGE CARROLL MD PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-03-25 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-01-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
