| Entity Name: | GESSLER CLINIC PROFESSIONAL ASSOCIATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Aug 1972 (52 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 04 Mar 1996 (29 years ago) |
| Document Number: | 603790 |
| FEI/EIN Number | 59-1407610 |
| Address: | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| Mail Address: | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| ZIP code: | 33881 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1154399533 | 2006-03-10 | 2013-10-16 | 635 1ST ST N, WINTER HAVEN, FL, 338814129, US | 635 1ST ST N, WINTER HAVEN, FL, 338814129, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 863-294-0670 |
| Fax | 8632983200 |
Authorized person
| Name | MRS. SHARON H HART |
| Role | ADMINISTRATOR/AUTHORIZED OFFICIAL |
| Phone | 8632940670 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207RA0201X - Allergy & Immunology (Internal Medicine) Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RX0202X - Medical Oncology Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 202072600 |
| State | FL |
| Issuer | MEDICARE ID / RRM GROUP |
| Number | C10423 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HART, SHARON | Agent | 635 FIRST STREET, NORTH, WINTER HAVEN, FL 33881 |
| Name | Role | Address |
|---|---|---|
| GRIFFIN, ELIZABETH H | Asst. VP | 635 FIRST ST. NORTH, WINTER HAVEN, FL 33881 |
| MANCINI, JOSEPH A | Asst. VP | 635 FIRST ST., N, WINTER HAVEN, FL 33881 |
| KEOWN, MICHAEL | Asst. VP | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| DeSena, Mary | Asst. VP | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| DOPICO, JORGE | Asst. VP | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| FORD, RONALD | Asst. VP | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| GASNER, ALAN | Asst. VP | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| MCCARTHY, MAURICE | Asst. VP | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| POCHCIAL, MARIA | Asst. VP | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| RADOCHA, RICHARD | Asst. VP | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| Name | Role | Address |
|---|---|---|
| HONER, RICHARD J | Director | 635 FIRST ST N, WINTER HAVEN, FL |
| LACALAMITO, RICHARD | Director | 635 FIRST ST., N, WINTER HAVEN, FL 33881 |
| JARDINE, LISA | Director | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| LIPSCHITZ, DAVID | Director | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| MARTINEZ-SALAS, JOSE | Director | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| Harrison, Tristan M | Director | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| Koon, James E | Director | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| Name | Role | Address |
|---|---|---|
| HONER, RICHARD J | Vice President | 635 FIRST ST N, WINTER HAVEN, FL |
| Name | Role | Address |
|---|---|---|
| LACALAMITO, RICHARD | President | 635 FIRST ST., N, WINTER HAVEN, FL 33881 |
| Name | Role | Address |
|---|---|---|
| ARONSKI, WOJTEK | ASST. VP | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| Name | Role | Address |
|---|---|---|
| JARDINE, LISA | Secretary | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| Name | Role | Address |
|---|---|---|
| LIPSCHITZ, DAVID | Treasurer | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ-SALAS, JOSE | Asst VP. | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-25 | 635 FIRST STREET, NORTH, WINTER HAVEN, FL 33881 | No data |
| AMENDMENT | 1996-03-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 1994-09-12 | HART, SHARON | No data |
| AMENDMENT | 1992-01-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1987-03-13 | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 | No data |
| CHANGE OF MAILING ADDRESS | 1987-03-13 | 635 FIRST STREET NORTH, WINTER HAVEN, FL 33881 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-02-08 |
| ANNUAL REPORT | 2015-02-10 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
