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DIANE BRZEZINSKI, D.O., P.A. - Florida Company Profile

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Company Details

Entity Name: DIANE BRZEZINSKI, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Oct 2000 (25 years ago)
Document Number: P00000099140
FEI/EIN Number 593686839
Address: 1250 Pine Ridge Rd, Unit 101A, NAPLES, FL, 34108, US
Mail Address: 1250 Pine Ridge Rd, Unit 101A, NAPLES, FL, 34108, US
ZIP code: 34108
City: Naples
County: Collier
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BRZEZINSKI DIANE J Secretary 1250 Pine Ridge Rd, NAPLES, FL, 34108
BRZEZINSKI DIANE J President 1250 Pine Ridge Rd, NAPLES, FL, 34108
BRZEZINSKI DIANE J Treasurer 1250 Pine Ridge Rd, NAPLES, FL, 34108
BRZEZINSKI DIANE J Director 1250 Pine Ridge Rd, NAPLES, FL, 34108
BRZEZINSKI DIANE Agent 1250 Pine Ridge Rd, NAPLES, FL, 34108

National Provider Identifier

NPI Number:
1730378175
Certification Date:
2021-07-06

Authorized Person:

Name:
DR. DIANE J BRZEZINSKI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2392619993

Form 5500 Series

Employer Identification Number (EIN):
593686839
Plan Year:
2024
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2017-03-29 1250 Pine Ridge Rd, Unit 101A, NAPLES, FL 34108 -
CHANGE OF PRINCIPAL ADDRESS 2016-03-08 1250 Pine Ridge Rd, Unit 101A, NAPLES, FL 34108 -
CHANGE OF MAILING ADDRESS 2016-03-08 1250 Pine Ridge Rd, Unit 101A, NAPLES, FL 34108 -
REGISTERED AGENT NAME CHANGED 2010-02-23 BRZEZINSKI, DIANE -

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-02-20
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-01-12

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Date of last update: 01 Aug 2025

Sources: Florida Department of State