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MANATEE GYNECOLOGY, P.A.

Company Details

Entity Name: MANATEE GYNECOLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Jun 1982 (43 years ago)
Document Number: F86874
FEI/EIN Number 592203121
Address: 2310 60th Street Ct West, BRADENTON, FL, 34209, US
Mail Address: 2310 60th Street Ct West, BRADENTON, FL, 34209, US
ZIP code: 34209
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497710255 2006-04-17 2008-05-21 1850 59TH ST W, BLAKE PARK STE B, BRADENTON, FL, 34209, US 1850 59TH ST W, BLAKE PARK STE B, BRADENTON, FL, 34209, US

Contacts

Phone +1 941-792-4993
Fax 9417952905

Authorized person

Name DENNIS M HALE
Role OWNER
Phone 9417924993

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

Agent

Name Role Address
Dr. Marion Pandiscio Agent 2310 60th Street Ct West, BRADENTON, FL, 34209

Secretary

Name Role Address
PANDISCIO MARION MMD Secretary 2310 60th Street Ct West, BRADENTON, FL, 34209

Treasurer

Name Role Address
PANDISCIO MARION MMD Treasurer 2310 60th Street Ct West, BRADENTON, FL, 34209

Shar

Name Role Address
Desai Kinnari PMD Shar 2310 60th Street Ct West, BRADENTON, FL, 34209

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
NAME CHANGE AMENDMENT 2007-04-09 MANATEE GYNECOLOGY, P.A. No data
NAME CHANGE AMENDMENT 1989-02-06 MANATEE OBSTETRICS AND GYNECOLOGY, P.A. No data

Date of last update: 02 Feb 2025

Sources: Florida Department of State