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ROBERT F. SMITH, M.D., PLLC

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Company Details

Name: ROBERT F. SMITH, M.D., PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 12 Aug 2015 (10 years ago)
Financial Date End: 31 Aug 2024
Date dissolved: 31 Dec 2023
Entity Number: 470794
Place of Formation: IDAHO
File Number: 470794
ZIP code: 83712
County: Ada County
Principal Address: 124 COSTON ST BOISE, ID 83712
Mailing Address: 124 N COSTON ST BOISE, ID 83712-8101

Agent

Name Role Address
ROBERT F SMITH MD Agent 124 COSTON ST, BOISE, ID 83712

Manager

Name Role Address Appointed On
Robert F. Smith Manager 124 N. COSTON ST., BOISE, ID 83712 2020-07-04

National Provider Identifier

NPI Number:
1942676598

Authorized Person:

Name:
DR. ROBERT F. SMITH
Role:
MANAGER/SOLE MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005520196 2023-12-18
Annual Report 0005323718 2023-07-16
Annual Report 0004801322 2022-07-04
Annual Report 0004335878 2021-07-06
Annual Report 0003929932 2020-07-04

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Date of last update: 09 Aug 2025

Sources: Idaho Secretary of State