| Entity Name: | GUILLERMO W. COSMA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Jul 1975 (50 years ago) |
| Document Number: | 479677 |
| FEI/EIN Number | 591604447 |
| Address: | 1305 S FT HARRISON AVE, BLDG F, CLEARWATER, FL, 33756, US |
| Mail Address: | 1305 S FT HARRISON AVE, BLDG F, CLEARWATER, FL, 33756, US |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316116114 | 2008-02-26 | 2008-02-26 | 1305 S FORT HARRISON AVE, BLDG F, CLEARWATER, FL, 337563301, US | 1305 S FORT HARRISON AVE, BLDG F, CLEARWATER, FL, 337563301, US | |||||||||||||||||||
|
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| Phone | +1 727-441-3857 |
| Fax | 7274492508 |
Authorized person
| Name | GUILLERMO WASHINGTON COSMA |
| Role | OWNER |
| Phone | 7274413857 |
Taxonomy
| Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
| License Number | ME18063 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON, TIMOTHY A JR | Agent | 911 CHESTNUT, CLEARWATER, FL, 33516 |
| Name | Role | Address |
|---|---|---|
| COSMA, GUILLERMO W | Treasurer | 1305 S FT HARRISON AVE, CLEARWATER, FL |
| Name | Role | Address |
|---|---|---|
| COSMA, GUILLERMO W | Secretary | 1305 S FT HARRISON AVE, CLEARWATER, FL |
| Name | Role | Address |
|---|---|---|
| COSMA, EDELMIRA L | Manager | 803 S. DRUID RD., CLEARWATER, FL |
| Name | Role | Address |
|---|---|---|
| COSMA, GUILLERMO W | President | 1305 S FT HARRISON AVE, CLEARWATER, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-02-18 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
