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OB & GYN SPECIALISTS, P.A. - Florida Company Profile

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Company Details

Entity Name: OB & GYN SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

OB & GYN SPECIALISTS, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 01 Jan 1980 (45 years ago)
Date of dissolution: 28 Sep 2012 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (13 years ago)
Document Number: 649549
FEI/EIN Number 591960318

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 1551 CLAY STREET, WINTER PARK, FL, 32789
Address: 1551 CLAY STREET, WINTER PARK, FL, 32789, US
ZIP code: 32789
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DIEBEL N DONALD M President 1551 CLAY STREET, WINTER PARK, FL, 32789
DIEBEL N DONALD M Director 1551 CLAY STREET, WINTER PARK, FL, 32789
WILSTRUP MARK A Secretary 1551 CLAY STREET, WINTER PARK, FL, 32789
WILSTRUP MARK A Director 1551 CLAY STREET, WINTER PARK, FL, 32789
LAZAR ARNOLD J Treasurer 1551 CLAY STREET, WINTER PARK, FL, 32789
LAZAR ARNOLD J Director 1551 CLAY STREET, WINTER PARK, FL, 32789
DURKEE DENNISE C Assistant Secretary 1551 CLAY STREET, WINTER PARK, FL, 32789
DURKEE DENNISE C Director 1551 CLAY STREET, WINTER PARK, FL, 32789
MERVIS MATTHEW R Assistant Treasurer 1551 CLAY STREET, WINTER PARK, FL, 32789
MERVIS MATTHEW R Director 1551 CLAY STREET, WINTER PARK, FL, 32789

National Provider Identifier

NPI Number:
1184760506

Authorized Person:

Name:
MATTHEW R MERVIS
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No

Contacts:

Fax:
4076441417

Form 5500 Series

Employer Identification Number (EIN):
591960318
Plan Year:
2011
Number Of Participants:
72
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
73
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
74
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -
CHANGE OF PRINCIPAL ADDRESS 2010-04-09 1551 CLAY STREET, WINTER PARK, FL 32789 -
CANCEL ADM DISS/REV 2009-12-18 - -
REGISTERED AGENT NAME CHANGED 2009-12-18 DIEBEL, N. DONALD M.D. -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
NAME CHANGE AMENDMENT 1987-10-05 OB & GYN SPECIALISTS, P.A. -
NAME CHANGE AMENDMENT 1986-07-11 OB & GYN SPECIALISTS, DIEBEL, LAZAR, STROUP, EPLEY AND WILSTRUP, M.D., P.A. -
NAME CHANGE AMENDMENT 1983-06-15 OB & GYN SPECIALISTS, DIEBEL, LAZAR AND STROUP, M.D., P.A. -
CHANGE OF MAILING ADDRESS 1982-04-07 1551 CLAY STREET, WINTER PARK, FL 32789 -
REGISTERED AGENT ADDRESS CHANGED 1982-04-07 1551 CLAY STREET, WINTER PARK, FL 32789 -

Documents

Name Date
ANNUAL REPORT 2011-03-18
ANNUAL REPORT 2010-04-09
REINSTATEMENT 2009-12-18
ANNUAL REPORT 2008-05-02
ANNUAL REPORT 2007-04-30
ANNUAL REPORT 2006-05-09
ANNUAL REPORT 2005-05-02
ANNUAL REPORT 2004-07-15
ANNUAL REPORT 2003-02-10
ANNUAL REPORT 2002-03-12

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Date of last update: 03 Jun 2025

Sources: Florida Department of State