| Entity Name: | SOUTHMED CORPORATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 12 Feb 1991 (34 years ago) |
| Date of dissolution: | 24 Sep 1999 (25 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 1999 (25 years ago) |
| Document Number: | S31466 |
| FEI/EIN Number | 59-3135165 |
| Address: | 633 E. COLONIAL DRIVE, ORLANDO, FL 32803 |
| Mail Address: | 633 E. COLONIAL DRIVE, ORLANDO, FL 32803 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427120765 | 2006-11-14 | 2020-08-22 | 3138 NORTHSIDE DR, KEY WEST, FL, 330408028, US | 3138 NORTHSIDE DR, KEY WEST, FL, 330408028, US | |||||||||||||||||||||||||
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| Phone | +1 305-295-3838 |
| Fax | 3052957772 |
Authorized person
| Name | MR. MARK A BAURR |
| Role | OFFICE MANAGER |
| Phone | 3052953838 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME77622 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 25768102 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEARLMAN, CRAIG S. | Agent | 201 S. ORANGE AVENUE, SUITE 900, ORLANDO, FL 32801 |
| Name | Role | Address |
|---|---|---|
| ADAMS, N. LOIS | President | 633 E COLONIAL DR, ORLANDO, FL |
| Name | Role | Address |
|---|---|---|
| MURRAY, LOUIS C. | Vice President | 633 E COLONIAL DR, ORLANDO, FL |
| Name | Role | Address |
|---|---|---|
| MURRAY, LOUIS C. | Director | 633 E COLONIAL DR, ORLANDO, FL |
| GOLDBERG, MERYL A | Director | 633 E. COLONIAL DR, ORLANDO, FL |
| Name | Role | Address |
|---|---|---|
| ADAMS, N. LOIS | Secretary | 633 E COLONIAL DR, ORLANDO, FL |
| Name | Role | Address |
|---|---|---|
| ADAMS, N. LOIS | Treasurer | 633 E COLONIAL DR, ORLANDO, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1999-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 1995-08-14 | PEARLMAN, CRAIG S. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1995-08-14 | 201 S. ORANGE AVENUE, SUITE 900, ORLANDO, FL 32801 | No data |
| AMENDMENT | 1993-03-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1991-09-18 | 633 E. COLONIAL DRIVE, ORLANDO, FL 32803 | No data |
| CHANGE OF MAILING ADDRESS | 1991-09-18 | 633 E. COLONIAL DRIVE, ORLANDO, FL 32803 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 1998-05-14 |
| ANNUAL REPORT | 1997-05-15 |
| ANNUAL REPORT | 1996-08-12 |
| ANNUAL REPORT | 1995-05-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
