| Entity Name: | MARK O. ASPERILLA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 20 May 1991 (34 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | S53660 |
| FEI/EIN Number | 65-0266304 |
| Address: | 3300 TAMIAMI TRAIL, SUITE 102A, PORT CHARLOTTE, FL 33952 |
| Mail Address: | 3300 TAMIAMI TRAIL, SUITE 102A, PORT CHARLOTTE, FL 33952 |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336313758 | 2008-04-16 | 2008-04-16 | 3300 TAMIAMI TRL, STE.102A, PORT CHARLOTTE, FL, 339528054, US | 3300 TAMIAMI TRL, STE.102A, PORT CHARLOTTE, FL, 339528054, US | |||||||||||||||||||||||||
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| Phone | +1 941-624-4499 |
| Fax | 9416240212 |
Authorized person
| Name | DR. MARK OLIVARES ASPERILLA |
| Role | PRESIDENT-OWNER |
| Phone | 9416244499 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| License Number | ME0052172 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | 10933 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ASPERILLA, MARK O. MD | Agent | 3300 TAMIAMI TRAIL, SUITE 102A, PORT CHARLOTTE, FL 33952 |
| Name | Role | Address |
|---|---|---|
| ASPERILLA, MARK O MD | President | 3300 TAMIAMI TRAIL, SUITE 102A, PORT CHARLOTTE, FL 33952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CANCEL ADM DISS/REV | 2010-04-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 1996-09-05 | 3300 TAMIAMI TRAIL, SUITE 102A, PORT CHARLOTTE, FL 33952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1996-09-05 | 3300 TAMIAMI TRAIL, SUITE 102A, PORT CHARLOTTE, FL 33952 | No data |
| REINSTATEMENT | 1996-09-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1996-09-05 | 3300 TAMIAMI TRAIL, SUITE 102A, PORT CHARLOTTE, FL 33952 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-02-13 |
| ANNUAL REPORT | 2012-04-13 |
| ANNUAL REPORT | 2011-03-23 |
| REINSTATEMENT | 2010-04-28 |
| ANNUAL REPORT | 2008-02-13 |
| ANNUAL REPORT | 2007-04-20 |
| ANNUAL REPORT | 2006-04-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
