| Entity Name: | STIPKOVITS CONSULTING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Aug 2018 (6 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L18000199070 |
| FEI/EIN Number | 83-1688775 |
| Address: | 2031 E. Edgewood Dr., Lakeland, FL, 33803, US |
| Mail Address: | P.O. BOX 6255, LAKELAND, FL, 33807, US |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164995239 | 2019-01-10 | 2019-01-10 | PO BOX 6255, LAKELAND, FL, 338076255, US | 2031 E EDGEWOOD DR STE 4, LAKELAND, FL, 338033659, US | |||||||||||||||||||||||||||
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| Phone | +1 863-213-9560 |
| Phone | +1 863-255-0297 |
| Fax | 8632790321 |
Authorized person
| Name | IBOLYA STIPKOVITS |
| Role | MANAGING MEMBER |
| Phone | 8632550297 |
Taxonomy
| Taxonomy Code | 2084B0040X - Behavioral Neurology & Neuropsychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002452200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DRAUGHN GREGORY A | Agent | 2031 E. EDGEWOOD DR., LAKELAND, FL, 33803 |
| Name | Role | Address |
|---|---|---|
| STIPKOVITS IBOLYA | Authorized Member | P.O. BOX 6255, LAKELAND, FL, 33807 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | 2031 E. Edgewood Dr., Suite 4, Lakeland, FL 33803 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | 2031 E. EDGEWOOD DR., SUITE 4, LAKELAND, FL 33803 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-08-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
