Entity Name: | EUGENE R. DELUCIA, III, D.O., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 19 Dec 1979 (45 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 16 Feb 2012 (13 years ago) |
Document Number: | 648746 |
FEI/EIN Number | 59-1953310 |
Mail Address: | 632 Riviera Bay Dr. NE, St. Petersburg, FL 33702 |
Address: | 632 RIVIERA BAY DR BE, ST PETERSBURG, FL 33702 |
ZIP code: | 33702 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1043499593 | 2007-11-01 | 2007-11-01 | 4543 S MANHATTAN AVE, SUITE 102, TAMPA, FL, 33611, US | 4543 S MANHATTAN AVE, SUITE 102, TAMPA, FL, 336112330, US | |||||||||||||||||||
|
Phone | +1 813-837-2461 |
Fax | 8138351731 |
Authorized person
Name | MR. EUGENE R DELUCIA III |
Role | PRESIDENT |
Phone | 8138372461 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | OS0003780 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DELUCIA III, EUGENE R D.O., P.A. | Agent | 632 RIVIERA BAY DR NE, ST PETERSBURG, FL 33702 |
Name | Role | Address |
---|---|---|
Dinnis, Maristela | manager | 632 RIVIERA BAY DR BE, ST PETERSBURG, FL 33702 |
Name | Role | Address |
---|---|---|
DELUCIA, EUGENE R.,III | President | 632 RIVIERA BAY DR NE, ST PETERSBURG, FL 33702 |
Name | Role | Address |
---|---|---|
DELUCIA, EUGENE R.,III | Director | 632 RIVIERA BAY DR NE, ST PETERSBURG, FL 33702 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2015-04-30 | 632 RIVIERA BAY DR NE, ST PETERSBURG, FL 33702 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2015-04-30 | 632 RIVIERA BAY DR BE, ST PETERSBURG, FL 33702 | No data |
CHANGE OF MAILING ADDRESS | 2013-01-08 | 632 RIVIERA BAY DR BE, ST PETERSBURG, FL 33702 | No data |
REINSTATEMENT | 2012-02-16 | No data | No data |
PENDING REINSTATEMENT | 2012-02-16 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2012-02-16 | DELUCIA III, EUGENE R D.O., P.A. | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
CANCEL ADM DISS/REV | 2009-06-05 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-28 |
ANNUAL REPORT | 2023-04-17 |
ANNUAL REPORT | 2022-04-05 |
ANNUAL REPORT | 2021-04-19 |
ANNUAL REPORT | 2020-06-23 |
ANNUAL REPORT | 2019-04-30 |
ANNUAL REPORT | 2018-03-14 |
ANNUAL REPORT | 2017-04-17 |
ANNUAL REPORT | 2016-03-30 |
ANNUAL REPORT | 2015-04-30 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State