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ELIZABETH KROCHAK, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: ELIZABETH KROCHAK, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Oct 2000 (25 years ago)
Date of dissolution: 28 Jun 2019 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 28 Jun 2019 (6 years ago)
Document Number: P00000100058
FEI/EIN Number 593677507
Mail Address: 780 JOHN ANDERSON DRIVE, ORMOND BEACH, FL, 32176
Address: 780 john anderson dr, ORMOND BEACH, FL, 32176, US
ZIP code: 32176
City: Ormond Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KROCHAK ELIZABETH Director 780 JOHN ANDERSON DRIVE, ORMOND BEACH, FL, 32176
GASSMAN ALAN S Agent 1245 COURT STREET, CLEARWATER, FL, 33756

National Provider Identifier

NPI Number:
1306857776

Authorized Person:

Name:
DR. ELIZABETH MARIE KROCHAK
Role:
MEDICAL DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3866723192

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-06-28 - -
CHANGE OF PRINCIPAL ADDRESS 2018-01-11 780 john anderson dr, ORMOND BEACH, FL 32176 -

Documents

Name Date
Voluntary Dissolution 2019-06-28
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-05
ANNUAL REPORT 2016-01-20
ANNUAL REPORT 2015-01-27
ANNUAL REPORT 2014-01-16
ANNUAL REPORT 2013-01-30
ANNUAL REPORT 2012-01-05
ANNUAL REPORT 2011-01-09

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Date of last update: 03 Jul 2025

Sources: Florida Department of State