| Entity Name: | KOZAK, P.T., & ASSOC., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
KOZAK, P.T., & ASSOC., INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 08 May 1987 (38 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | M51777 |
| FEI/EIN Number |
592808236
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12421 Henrietta Ave, LARGO, FL, 33774, US |
| Mail Address: | 12421 HENRIETTA AVE, LARGO, FL, 33774-2840, US |
| ZIP code: | 33774 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932323839 | 2007-04-12 | 2013-05-23 | 10099 SEMINOLE BLVD, SUITE 5A, SEMINOLE, FL, 337722521, US | 10099 SEMINOLE BLVD, SUITE 5A, SEMINOLE, FL, 337722521, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-399-8226 |
| Fax | 7273934823 |
Authorized person
| Name | MR. JOHN ANDREW KOZAK |
| Role | ADMINISTRATOR |
| Phone | 7273998226 |
Taxonomy
| Taxonomy Code | 2251X0800X - Orthopedic Physical Therapist |
| License Number | PT 3271 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | R5H |
| State | FL |
| Issuer | AETNA |
| Number | 5288337 |
| State | FL |
| Issuer | MEDICAID |
| Number | 890763300 |
| State | FL |
| Issuer | BCBS |
| Number | Y4593 |
| State | FL |
| Issuer | ACS |
| Number | 360474900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KOZAK JOHN A | President | 12421 HENRIETTA AVENUE, LARGO, FL, 337742840 |
| KOZAK NANCY L | Secretary | 12421 HENRIETTA AVENUE, LARGO, FL, 337742840 |
| Kozak Nancy | Agent | 12421 HENRIETTA AVENUE, LARGO, FL, 337742840 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-27 | 12421 Henrietta Ave, LARGO, FL 33774 | - |
| CHANGE OF MAILING ADDRESS | 2016-04-15 | 12421 Henrietta Ave, LARGO, FL 33774 | - |
| REGISTERED AGENT NAME CHANGED | 2016-04-15 | Kozak, Nancy | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-14 | 12421 HENRIETTA AVENUE, LARGO, FL 33774-2840 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-03-10 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-03-19 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-14 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-02-04 |
| ANNUAL REPORT | 2012-03-14 |
| ANNUAL REPORT | 2011-02-18 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
