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EUGENE R. DELUCIA, III, D.O., P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
DELUCIA III, EUGENE R D.O., P.A. Agent 632 RIVIERA BAY DR NE, ST PETERSBURG, FL 33702

manager

Name Role Address
Dinnis, Maristela manager 632 RIVIERA BAY DR BE, ST PETERSBURG, FL 33702

President

Name Role Address
DELUCIA, EUGENE R.,III President 632 RIVIERA BAY DR NE, ST PETERSBURG, FL 33702

Director

Name Role Address
DELUCIA, EUGENE R.,III Director 632 RIVIERA BAY DR NE, ST PETERSBURG, FL 33702

Events

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

Documents

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