| Entity Name: | INVERNESS SURGICAL ASSOCIATION, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
INVERNESS SURGICAL ASSOCIATION, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 02 Dec 1999 (25 years ago) |
| Date of dissolution: | 15 Apr 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 15 Apr 2013 (12 years ago) |
| Document Number: | P99000105736 |
| FEI/EIN Number |
593613043
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 403 W. HIGHLAND BLVD., INVERNESS, FL, 34452, US |
| Mail Address: | 403 W. HIGHLAND BLVD., INVERNESS, FL, 34452, US |
| ZIP code: | 34452 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790752863 | 2006-03-07 | 2011-01-25 | 403 W HIGHLAND BLVD, INVERNESS, FL, 344524717, US | 403 W HIGHLAND BLVD, INVERNESS, FL, 344524717, US | |||||||||||||||||||||||||||||||
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| Phone | +1 352-726-3646 |
| Fax | 3527260079 |
Authorized person
| Name | MARC E FERNANDEZ |
| Role | OFFICER/SECRETARY |
| Phone | 3527263646 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 80110207817 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS GROUP |
| Number | 38905 |
| State | FL |
| Issuer | MEDICAID |
| Number | 258062400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAVIS TERRI G | Secretary | 403 W. HIGHLAND BLVD., INVERNESS, FL, 34452 |
| DAVIS TERRI G | Treasurer | 403 W. HIGHLAND BLVD., INVERNESS, FL, 34452 |
| FERNANDEZ MARC EMD | President | 403 W. HIGHLAND BLVD, INVERNESS, FL, 34452 |
| PHAM QUEHUONG HMD | Vice President | 403 W. HIGHLAND BLVD., INVERNESS, FL, 34452 |
| PHAM QUEHUONG HMD | Agent | 403 W. HIGHLAND BLVD., INVERNESS, FL, 34452 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2013-04-15 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-17 | 403 W. HIGHLAND BLVD., INVERNESS, FL 34452 | - |
| CHANGE OF MAILING ADDRESS | 2010-02-17 | 403 W. HIGHLAND BLVD., INVERNESS, FL 34452 | - |
| REGISTERED AGENT NAME CHANGED | 2010-02-17 | PHAM, QUEHUONG H, MD | - |
| Name | Date |
|---|---|
| CORAPVDWN | 2013-04-15 |
| ANNUAL REPORT | 2012-04-17 |
| ANNUAL REPORT | 2011-04-26 |
| ANNUAL REPORT | 2010-02-17 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-25 |
| ANNUAL REPORT | 2006-02-14 |
| ANNUAL REPORT | 2005-07-12 |
| ANNUAL REPORT | 2004-03-04 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
