| Entity Name: | GEORGE SCHWENCK DPM PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Apr 1989 (36 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 27 Jan 2014 (11 years ago) |
| Document Number: | K78331 |
| FEI/EIN Number | 65-0118685 |
| Address: | 1584 ne 108 st, MIAMI, FL 33161 |
| Mail Address: | 1584 NORTHEAST 108TH STREET, MIAMI, FL 33161 |
| ZIP code: | 33161 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386851822 | 2007-05-16 | 2021-04-19 | 1584 NE 108TH ST, MIAMI, FL, 331617427, US | 17751 SW 2ND ST, PEMBROKE PINES, FL, 330293924, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-595-3005 |
| Fax | 3055953360 |
| Phone | +1 954-251-1687 |
| Fax | 9546135193 |
Authorized person
| Name | GEORGE SCHWENCK |
| Role | PRESIDENT |
| Phone | 3055051873 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO1896 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001454100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SCHWENCK, GEORGE | Agent | 1584 NE 108 ST, MIAMI, FL 33161 |
| Name | Role | Address |
|---|---|---|
| SCHWENCK, GEORGE | DPM | 1584 NE 108TH ST., MIAMI, FL 33161 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-14 | 1584 ne 108 st, MIAMI, FL 33161 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-14 | SCHWENCK, GEORGE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-14 | 1584 NE 108 ST, MIAMI, FL 33161 | No data |
| AMENDMENT AND NAME CHANGE | 2014-01-27 | GEORGE SCHWENCK DPM PA | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-19 | 1584 ne 108 st, MIAMI, FL 33161 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-07 |
| ANNUAL REPORT | 2020-04-02 |
| ANNUAL REPORT | 2019-04-21 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-04-02 |
| ANNUAL REPORT | 2015-03-19 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
