| Entity Name: | GARRICK KANTZLER, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Nov 1978 (46 years ago) |
| Document Number: | 592630 |
| FEI/EIN Number | 59-1860878 |
| Address: | 3745 11TH CIRCLE,, SUITE 107, VERO BEACH, FL 32960 |
| Mail Address: | 3745 11TH CIRCLE,, SUITE 107, VERO BEACH, FL 32960 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073709374 | 2007-09-20 | 2007-09-20 | 805 37TH PL, VERO BEACH, FL, 329606564, US | 805 37TH PL, VERO BEACH, FL, 329606564, US | |||||||||||||||
|
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| Phone | +1 772-562-2330 |
| Fax | 7725622592 |
Authorized person
| Name | GARRICK B KANTZLER |
| Role | OWNER |
| Phone | 7725622330 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KANTZLER, GARRICK, M.D. | Agent | 3745 11th Circle Suite 107, vero beach, FL 32960 |
| Name | Role | Address |
|---|---|---|
| Kantzler, garrick B | President | 101 sandpointe dr, VERO BEACH, FL 32963 |
| Name | Role | Address |
|---|---|---|
| Kantzler, garrick B | Treasurer | 101 sandpointe dr, VERO BEACH, FL 32963 |
| Name | Role | Address |
|---|---|---|
| hatfield, alyssa jayne | Secretary | 1701 44th Ave, Vero beach, FL 32966 |
| Name | Role | Address |
|---|---|---|
| kantzler, doreen marie | Vice president | 101 sandpointe dr, VERO BEACH, FL 32963 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-09 | 3745 11th Circle Suite 107, vero beach, FL 32960 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-18 | 3745 11TH CIRCLE,, SUITE 107, VERO BEACH, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-18 | 3745 11TH CIRCLE,, SUITE 107, VERO BEACH, FL 32960 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-02-26 |
| AMENDED ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-03-03 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-01-09 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
