| Entity Name: | EMIL F.M. FELSKI, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Jun 1984 (41 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | H10304 |
| FEI/EIN Number | 59-2436913 |
| Address: | 1120 STATE RD. 436, STE 1000, CASSELBERRY, FL 32707 |
| Mail Address: | 1120 STATE RD. 436, STE 1000, CASSELBERRY, FL 32707 |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366548299 | 2006-09-16 | 2013-01-08 | 812 BRIGHTWATER CIR, MAITLAND, FL, 327514215, US | 1120 STATE ROAD 436 STE 1000, CASSELBERRY, FL, 327076183, US | |||||||||||||||||||||||||
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| Phone | +1 407-645-2999 |
| Phone | +1 407-677-1234 |
Authorized person
| Name | EMIL F.M. FELSKI |
| Role | PRESIDENT |
| Phone | 4076771234 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | OS003318 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 059873900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FELSKI, EMIL F. M. | Agent | 1120 STATE RD. 436, STE 1000, CASSELBERRY, FL 32707 |
| Name | Role | Address |
|---|---|---|
| FELSKI, EMIL F.M. | President | 1120 STATE RD. 436, SUITE 1000, CASSELBERRY, FL 32707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-12 | 1120 STATE RD. 436, STE 1000, CASSELBERRY, FL 32707 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-03-23 | 1120 STATE RD. 436, STE 1000, CASSELBERRY, FL 32707 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-03-23 | 1120 STATE RD. 436, STE 1000, CASSELBERRY, FL 32707 | No data |
| REGISTERED AGENT NAME CHANGED | 2003-04-14 | FELSKI, EMIL F. M. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-31 |
| ANNUAL REPORT | 2015-01-16 |
| ANNUAL REPORT | 2014-02-02 |
| ANNUAL REPORT | 2013-02-05 |
| ANNUAL REPORT | 2012-01-16 |
| ANNUAL REPORT | 2011-01-12 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
