| Entity Name: | JEFFREY PAUL GALLY, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Jun 1989 (36 years ago) |
| Document Number: | K95713 |
| FEI/EIN Number | 65-0126046 |
| Address: | 3880 COCONUT CREEK PKWY, SUITE 102, COCONUT CREEK, FL 33066 |
| Mail Address: | 3880 COCONUT CREEK PKWY, SUITE 102, COCONUT CREEK, FL 33066 |
| ZIP code: | 33066 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497057640 | 2010-11-20 | 2010-11-20 | 3880 COCONUT CREEK PKWY, SUITE 102, COCONUT CREEK, FL, 330661652, US | 3880 COCONUT CREEK PKWY, SUITE 102, COCONUT CREEK, FL, 330661652, US | |||||||||||||||||||
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| Phone | +1 954-971-6188 |
| Fax | 9549704944 |
Authorized person
| Name | JEFFREY GALLY |
| Role | PRESIDENT |
| Phone | 9549716188 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0054889 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KLEIN, THEODORE J. | Agent | 8030 PETERS ROAD, BLDG D, SUITE 104, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| GALLY, JEFFREY P | President | 3880 COCONUT CREEK, #102, COCONUT CREEK, FL 33066 |
| Name | Role | Address |
|---|---|---|
| GALLY, JEFFREY P | Vice President | 3880 COCONUT CREEK, #102, COCONUT CREEK, FL 33066 |
| Name | Role | Address |
|---|---|---|
| GALLY, JEFFREY P | Secretary | 3880 COCONUT CREEK, #102, COCONUT CREEK, FL 33066 |
| Name | Role | Address |
|---|---|---|
| GALLY, JEFFREY P | Treasurer | 3880 COCONUT CREEK #102, COCONUT CREEK, FL 33066 |
| Name | Role | Address |
|---|---|---|
| GALLY, JEFFREY P | Director | 3880 COCONUT CREEK #102, COCONUT CREEK, FL 33066 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-17 | 8030 PETERS ROAD, BLDG D, SUITE 104, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1993-04-30 | 3880 COCONUT CREEK PKWY, SUITE 102, COCONUT CREEK, FL 33066 | No data |
| CHANGE OF MAILING ADDRESS | 1993-04-30 | 3880 COCONUT CREEK PKWY, SUITE 102, COCONUT CREEK, FL 33066 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-20 |
| ANNUAL REPORT | 2023-03-11 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-26 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-15 |
| ANNUAL REPORT | 2017-04-02 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
