| Entity Name: | GARY PYNCKEL, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 21 Jun 1989 (36 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | K96951 |
| FEI/EIN Number | 65-0126706 |
| Address: | 3840 COLONIAL BLVD., SUITE 1, FORT MYERS, FL 33966 |
| Mail Address: | 3840 COLONIAL BLVD., SUITE 1, FORT MYERS, FL 33966 |
| ZIP code: | 33966 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083800072 | 2007-09-24 | 2013-05-16 | 3840 COLONIAL BLVD. SUITE 1, FORT MYERS, FL, 33966, US | 3840 COLONIAL BLVD., SUITE 1, FORT MYERS, FL, 33966, US | |||||||||||||||||||
|
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| Phone | +1 239-278-3377 |
| Fax | 2392785266 |
Authorized person
| Name | GARY PYNCKEL |
| Role | PHYSICIAN |
| Phone | 2392783377 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS5445 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Pynckel, Deborah | Agent | 3840 COLONIAL BLVD. SUITE 1, FT. MYERS, FL 33966 |
| Name | Role | Address |
|---|---|---|
| Pynckel, Deborah | President | 3840 COLONIAL BLVD., SUITE 1 FORT MYERS, FL 33966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-08 | Pynckel, Deborah | No data |
| CHANGE OF MAILING ADDRESS | 2011-06-22 | 3840 COLONIAL BLVD., SUITE 1, FORT MYERS, FL 33966 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-06-22 | 3840 COLONIAL BLVD., SUITE 1, FORT MYERS, FL 33966 | No data |
| REINSTATEMENT | 2011-06-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-06-22 | 3840 COLONIAL BLVD. SUITE 1, FT. MYERS, FL 33966 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-03-05 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-03-26 |
| ANNUAL REPORT | 2012-01-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
