| Entity Name: | INTERNAL MEDICINE & ENDOCRINOLOGY OF SOUTHWEST FLORIDA PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jan 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 07 Mar 2018 (7 years ago) |
| Document Number: | L18000020699 |
| FEI/EIN Number | 82-4158212 |
| Address: | 713 E. MARION AVENUE, SUITE 127, PUNTA GORDA, FL 33950 |
| Mail Address: | 713 E. MARION AVENUE, SUITE 127, PUNTA GORDA, FL 33950 |
| ZIP code: | 33950 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669970315 | 2018-01-29 | 2018-01-29 | 713 E MARION AVE STE 127, PUNTA GORDA, FL, 339503862, US | 713 E MARION AVE STE 127, PUNTA GORDA, FL, 339503862, US | |||||||||||||||||||||||
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| Phone | +1 941-676-2424 |
Authorized person
| Name | STEVEN HALASZ |
| Role | OWNER |
| Phone | 9416762424 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME38379 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME68379 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HACKETT, JACK O, II | Agent | FARR LAW FIRM, 99 NESBIT STREET, PUNTA GORDA, FL 33950 |
| Name | Role | Address |
|---|---|---|
| HALASZ, STEVEN, M.D. | Manager | 260 SORRENTO COURT, PUNTA GORDA, FL 33950 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-18 | FARR LAW FIRM, 99 NESBIT STREET, PUNTA GORDA, FL 33950 | No data |
| LC AMENDMENT | 2018-03-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-07 | 713 E. MARION AVENUE, SUITE 127, PUNTA GORDA, FL 33950 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-07 | 713 E. MARION AVENUE, SUITE 127, PUNTA GORDA, FL 33950 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-19 |
| LC Amendment | 2018-03-07 |
| Florida Limited Liability | 2018-01-24 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
