| Entity Name: | LISA CHMIELEWSKI, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 May 2001 (24 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P01000055046 |
| FEI/EIN Number | 651117486 |
| Address: | 1921 WALDEMERE ST, 301, SARASOTA, FL, 34239 |
| Mail Address: | 1921 WALDEMERE ST, 301, SARASOTA, FL, 34239 |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134372105 | 2008-11-03 | 2010-07-13 | 1921 WALDEMERE ST STE 301, SARASOTA, FL, 342392941, US | 1921 WALDEMERE ST STE 301, SARASOTA, FL, 342392941, US | |||||||||||||||||||
|
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| Phone | +1 941-806-0540 |
| Fax | 9418060543 |
Authorized person
| Name | DR. I LISA CHMIELEWSKI |
| Role | PHYSICIAN/OWNDER |
| Phone | 9418092727 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | ME73458 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLALOCK, WALTERS, HELD & JOHNSON, P.A. | Agent | 802 11TH STREET WEST, BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| CHMIELEWSKI LISA | Director | 1921 WALDEMERE ST , STE 301, SARASOTA, FL, 34239 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08310900213 | HEART RHYTHM CENTER | EXPIRED | 2008-11-05 | 2013-12-31 | No data | 1921 WALDEMERE STREET, SUITE 301, SARASOTA, FL, 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-05 | 1921 WALDEMERE ST, 301, SARASOTA, FL 34239 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-05 | 1921 WALDEMERE ST, 301, SARASOTA, FL 34239 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-07 | BLALOCK, WALTERS, HELD & JOHNSON, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-07 | 802 11TH STREET WEST, BRADENTON, FL 34205 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-01-09 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-07 |
| ANNUAL REPORT | 2009-03-31 |
| ANNUAL REPORT | 2008-07-11 |
| ANNUAL REPORT | 2007-02-25 |
| ANNUAL REPORT | 2006-07-03 |
| ANNUAL REPORT | 2005-04-25 |
| ANNUAL REPORT | 2004-04-26 |
| ANNUAL REPORT | 2003-02-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
