| Entity Name: | POTENCIANO GONZALES, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Nov 2001 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Sep 2010 (14 years ago) |
| Document Number: | P01000112562 |
| FEI/EIN Number | 593760237 |
| Address: | 62 SPRING VISTA DR, 101, DEBARY, FL, 32713 |
| Mail Address: | 62 SPRING VISTA DR, 101, DEBARY, FL, 32713 |
| ZIP code: | 32713 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| GONZALES JOSEFINA | Agent | 62 SPRING VISTA DRIVE, DEBARY, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| GONZALES POTENCIANO D | Manager | 62 SPRING VISTA DRIVE, DEBARY, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| GONZALES POTENCIANO D | Director | 62 SPRING VISTA DRIVE, DEBARY, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| GONZALES JOSEFINA | Administrator | 62 SPRING VISTA DRIVE, DEBARY, FL, 32713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-09 | 62 SPRING VISTA DRIVE, SUITE 101, DEBARY, FL 32713 | No data |
| CHANGE OF MAILING ADDRESS | 2010-09-27 | 62 SPRING VISTA DR, 101, DEBARY, FL 32713 | No data |
| REINSTATEMENT | 2010-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-09-27 | GONZALES, JOSEFINA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2004-10-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-10-30 | 62 SPRING VISTA DR, 101, DEBARY, FL 32713 | No data |
| CANCEL ADM DISS/REV | 2003-10-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-26 |
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-12 |
| ANNUAL REPORT | 2021-02-13 |
| ANNUAL REPORT | 2020-02-09 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-01-05 |
| ANNUAL REPORT | 2017-08-02 |
| ANNUAL REPORT | 2016-01-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
