| Entity Name: | CARLTON R. VOLLBERG, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Dec 1991 (33 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | V03685 |
| FEI/EIN Number | 65-0311558 |
| Address: | 2852 Tamiami Trail, Suite 6, Port Charlotte, FL 33952 |
| Mail Address: | 5772 Sunup Circle, Ooltewah, TN 37363 |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003124322 | 2010-09-21 | 2010-09-21 | 2852 TAMIAMI TRL STE 6, PORT CHARLOTTE, FL, 339525100, US | 2852 TAMIAMI TRL STE 6, PORT CHARLOTTE, FL, 339525100, US | |||||||||||||||
|
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| Phone | +1 941-743-4445 |
| Fax | 9417434287 |
Authorized person
| Name | MRS. ANTONIA MARIE VOLLBERG |
| Role | OFFICE SUPERVISOR |
| Phone | 9417434445 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VOLLBERG, CARLTON RMD | Agent | 2852 TAMIAMI TRAIL, STE 6, PORT CHARLOTTE, FL 33952 |
| Name | Role | Address |
|---|---|---|
| TONI VOLLBERG | Manager | 5772 Sunup Circle, Ooltewah, TN 37363 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-12 | 2852 Tamiami Trail, Suite 6, Port Charlotte, FL 33952 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-12 | 2852 Tamiami Trail, Suite 6, Port Charlotte, FL 33952 | No data |
| REINSTATEMENT | 2010-08-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-07-06 | VOLLBERG, CARLTON RMD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1995-04-24 | 2852 TAMIAMI TRAIL, STE 6, PORT CHARLOTTE, FL 33952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-11 |
| ANNUAL REPORT | 2014-01-12 |
| ANNUAL REPORT | 2013-06-11 |
| ANNUAL REPORT | 2012-01-26 |
| ANNUAL REPORT | 2011-01-10 |
| REINSTATEMENT | 2010-08-01 |
| ANNUAL REPORT | 2008-03-03 |
| ANNUAL REPORT | 2007-07-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
