| Entity Name: | SUZANNE MARTINCAK, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Feb 2005 (20 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | L05000010356 |
| FEI/EIN Number | 202254956 |
| Address: | 521 HWY 2297, PANAMA CITY, FL, 32404 |
| Mail Address: | P O BOX 6093, PANAMA CITY, FL, 32404 |
| ZIP code: | 32404 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285804039 | 2008-03-07 | 2008-03-08 | 521 HIGHWAY 2297, PANAMA CITY, FL, 324042919, US | 924 W 13TH ST, PANAMA CITY, FL, 324012214, US | |||||||||||||||||||
|
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| Phone | +1 850-628-1969 |
| Phone | +1 850-763-8643 |
Authorized person
| Name | MRS. SUZANNE MARTINCAK |
| Role | NURSE PRACTIONER/ MIDWIFE |
| Phone | 8506281969 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | 9176243 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTINCAK SUZANNE | Agent | 521 HWY 2297, PANAMA CITY, FL, 32404 |
| Name | Role | Address |
|---|---|---|
| MARTINCAK SUZANNE | Managing Member | P O BOX 6093, PANAMA CITY, FL, 32404 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-07-06 | 521 HWY 2297, PANAMA CITY, FL 32404 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-07-06 |
| ANNUAL REPORT | 2006-04-29 |
| Florida Limited Liability | 2005-02-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
