| Entity Name: | E. GEORGE ROSANELLI, JR., M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Mar 1985 (40 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 20 May 2010 (15 years ago) |
| Document Number: | H49465 |
| FEI/EIN Number | 59-2506678 |
| Address: | 10 Formosa Ave., TAMPA, FL 33606 |
| Mail Address: | 10 Formosa Ave., TAMPA, FL 33606 |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417244757 | 2011-07-07 | 2014-06-10 | 4129 N ARMENIA AVE, SUITE A, TAMPA, FL, 336076436, US | 4129 N ARMENIA AVE, SUITE A, TAMPA, FL, 336076436, US | |||||||||||||||||||||||
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| Phone | +1 813-875-3884 |
| Fax | 8138782355 |
Authorized person
| Name | E. GEORGE ROSANELLI JR. |
| Role | PRESIDENT |
| Phone | 8138753884 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | ME29113 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE UPIN |
| Number | DU5908 |
| Name | Role | Address |
|---|---|---|
| ROSANELLI, E. GEORGE | Agent | 10 Formosa Ave., TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| Rosanelli, Edward George | Dr | 10 Formosa Ave., TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| Rosanelli, Yvonne Leonor | Vice President | 10 Formosa Ave, Tampa, FL 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-08 | 10 Formosa Ave., TAMPA, FL 33606 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-08 | 10 Formosa Ave., TAMPA, FL 33606 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-08 | 10 Formosa Ave., TAMPA, FL 33606 | No data |
| CANCEL ADM DISS/REV | 2010-05-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2002-08-04 | ROSANELLI, E. GEORGE | No data |
| REINSTATEMENT | 2000-10-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1999-09-24 | No data | No data |
| REINSTATEMENT | 1997-12-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000955040 | TERMINATED | 1000000407788 | HILLSBOROU | 2012-11-28 | 2032-12-05 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-08-08 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-04-09 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
