| Entity Name: | PULMONARY AND CRITICAL CARE ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 Oct 1986 (38 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: | J36729 |
| FEI/EIN Number | 59-2720234 |
| Address: | 1893 KINGSLEY AVENUE, SUITE C, ORANGE PARK, FL 32073 |
| Mail Address: | 1893 KINGSLEY AVENUE, SUITE C, ORANGE PARK, FL 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427223890 | 2008-04-28 | 2012-10-10 | 1893 KINGSLEY AVE, SUITE C, ORANGE PARK, FL, 320734491, US | 425 N LEE ST, SUITE 101, JACKSONVILLE, FL, 322041127, US | |||||||||||||||||||
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| Phone | +1 904-276-2044 |
| Fax | 9042762106 |
| Phone | +1 904-358-9587 |
| Fax | 9043599594 |
Authorized person
| Name | MITCHELL S ROTHSTEIN |
| Role | DIRECTOR/VP |
| Phone | 9042762044 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Hershorin, Brian J. | Agent | 1548 Lancaster Terrace, Jacksonville, FL 32204 |
| Name | Role | Address |
|---|---|---|
| CHEN, TAIWEN, MD | Director | 1893 KINGSLEY AVE. ,SUITE, C ORANGE PARK, FL 32073 |
| MCCOSKEY, EUGENE H, DO | Director | 1893 KINGSLEY AVE., STE. C, ORANGE PARK, FL 32073 |
| MILLSTONE, STUART Z, MD | Director | 1893 KINGSLEY AVE, SUITE C, ORANGE PARK, FL 32073 |
| Name | Role | Address |
|---|---|---|
| MILLSTONE, STUART Z, MD | President | 1893 KINGSLEY AVE, SUITE C, ORANGE PARK, FL 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-14 | Hershorin, Brian J. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-14 | 1548 Lancaster Terrace, Jacksonville, FL 32204 | No data |
| AMENDMENT | 2014-01-24 | No data | No data |
| AMENDMENT | 2011-07-07 | No data | No data |
| AMENDMENT | 2010-09-30 | No data | No data |
| AMENDMENT | 2002-11-20 | No data | No data |
| NAME CHANGE AMENDMENT | 1990-06-20 | PULMONARY AND CRITICAL CARE ASSOCIATES, P.A. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1990-04-19 | 1893 KINGSLEY AVENUE, SUITE C, ORANGE PARK, FL 32073 | No data |
| CHANGE OF MAILING ADDRESS | 1990-04-19 | 1893 KINGSLEY AVENUE, SUITE C, ORANGE PARK, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-04-06 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-08 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-04-14 |
| Amendment | 2014-01-24 |
| ANNUAL REPORT | 2014-01-07 |
| ANNUAL REPORT | 2013-04-18 |
| ANNUAL REPORT | 2012-02-15 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
