| Entity Name: | STEPHEN GELLER MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Mar 1981 (44 years ago) |
| Document Number: | F22310 |
| FEI/EIN Number | 591913663 |
| Address: | 3000 UNIVERSITY DRIVE , SUITE G, % STEPHEN R. GELLER, CORAL SPRINGS, FL, 33065 |
| Mail Address: | 3000 UNIVERSITY DRIVE , SUITE G, % STEPHEN R. GELLER, CORAL SPRINGS, FL, 33065, US |
| ZIP code: | 33065 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164792776 | 2012-01-12 | 2012-04-23 | 3000 N UNIVERSITY DR, SUITE G, CORAL SPRINGS, FL, 330655055, US | 3000 N UNIVERSITY DR, SUITE G, CORAL SPRINGS, FL, 330655055, US | |||||||||||||||||||
|
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| Phone | +1 954-753-8010 |
| Fax | 9547539964 |
Authorized person
| Name | DR. STEPHEN GELLER |
| Role | OWNER |
| Phone | 9547538010 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| License Number | ME34071 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GELLER STEPHEN | Agent | 3000 UNIVERSITY DRIVE , SUITE G, CORAL SPRINGS, FL, 33065 |
| Name | Role | Address |
|---|---|---|
| GELLER, STEPHEN R. | President | 3000 UNIVERSITY DR,. #G, CORAL SPRINGS, FL |
| Name | Role | Address |
|---|---|---|
| GELLER, STEPHEN R. | Director | 3000 UNIVERSITY DR,. #G, CORAL SPRINGS, FL |
| GELLER, BARBARA | Director | 3000 UNIVERSITY DR,. #G, CORAL SPRINGS, FL |
| Name | Role | Address |
|---|---|---|
| GELLER, BARBARA | Secretary | 3000 UNIVERSITY DR,. #G, CORAL SPRINGS, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2020-11-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2017-02-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| NAME CHANGE AMENDMENT | 2012-05-09 | STEPHEN GELLER MD PA | No data |
| REINSTATEMENT | 2012-03-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
