| Entity Name: | ISTVAN KRISKO, M.D., PH.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 May 1978 (47 years ago) |
| Document Number: | 569730 |
| FEI/EIN Number | 591835769 |
| Address: | 11040 TURTLE BEACH ROAD, NORTH PALM BEACH, FL, 33408, US |
| Mail Address: | 11040 TURTLE BEACH ROAD, NORTH PALM BEACH, FL, 33408, US |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164600201 | 2008-01-31 | 2012-08-28 | 2055 MILITARY TRL, STE 800, JUPITER, FL, 334587801, US | 2055 MILITARY TRL, STE 800, JUPITER, FL, 334587801, US | |||||||||||||||||||
|
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| Phone | +1 561-746-8446 |
| Fax | 5617468447 |
Authorized person
| Name | LEEANNE PROULX |
| Role | OFFICE MANAGER |
| Phone | 5617468446 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| License Number | ME28092 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GERSON GARY N | Agent | 3001 PGA Blvd, Palm Beach Gardens, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| KRISKO ISTVAN | President | 11040 Turtle Beach Road, North Palm Beach, FL, 33408 |
| Name | Role | Address |
|---|---|---|
| KRISKO ISTVAN | Treasurer | 11040 Turtle Beach Road, North Palm Beach, FL, 33408 |
| Name | Role | Address |
|---|---|---|
| KRISKO ISTVAN | Director | 11040 Turtle Beach Road, North Palm Beach, FL, 33408 |
| Name | Role | Address |
|---|---|---|
| KRISKO ISTVAN | Secretary | 11040 Turtle Beach Road, North Palm Beach, FL, 33408 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 1996-11-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
