| Entity Name: | DAVID M. MCFADDIN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 31 Dec 1990 (34 years ago) |
| Document Number: | S22567 |
| FEI/EIN Number | 59-3044512 |
| Address: | 3201 Southwest 33rd Road, Ocala, FL 34474 |
| Mail Address: | 3201 Southwest 33rd Road, Ocala, FL 34474 |
| ZIP code: | 34474 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639593593 | 2014-02-13 | 2014-02-13 | 2301 SE 3RD AVE, BUILDING 100, SUITE B, OCALA, FL, 344715105, US | 2301 SE 3RD AVE, BUILDING 100, SUITE B, OCALA, FL, 344715105, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 352-867-8551 |
| Fax | 3528677669 |
Authorized person
| Name | DR. DAVID MOORE MCFADDIN |
| Role | OWNER/PHYSICIAN |
| Phone | 3528678551 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | ME51843 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 048230700 |
| State | FL |
| Issuer | MEDICARE ID |
| Number | 05802 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCFADDIN, DAVID M., M.D. | Agent | 3201 Southwest 33rd Road, Ocala, FL 34474 |
| Name | Role | Address |
|---|---|---|
| McFaddin MD PA, David M, M.D. | President | 3201 Southwest 33rd Road, Ocala, FL 34474 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000046155 | OCALA BREAST AND GENERAL SURGERY | ACTIVE | 2016-05-06 | 2026-12-31 | No data | 2760 S.E. 17TH STREET, #102, OCALA, FL, 34471 |
| G11000043828 | OCALA GENERAL SURGERY | EXPIRED | 2011-05-09 | 2016-12-31 | No data | 2301 S.E. 3RD AVE., BUILDING 100, STE B, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-20 | 3201 Southwest 33rd Road, Ocala, FL 34474 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-20 | 3201 Southwest 33rd Road, Ocala, FL 34474 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-20 | 3201 Southwest 33rd Road, Ocala, FL 34474 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-20 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-05-02 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
