| Entity Name: | THERESA KELLER GOEBEL, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Jul 2002 (23 years ago) |
| Document Number: | P02000074039 |
| FEI/EIN Number | 753070697 |
| Address: | 11786 SE FEDERAL HIGHWAY, HOBE SOUND, FL, 33455 |
| Mail Address: | 19985 WILKINSON LEAS RD, TEQUESTA, FL, 33469 |
| ZIP code: | 33455 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962483438 | 2005-11-10 | 2008-07-16 | 11786 SE FEDERAL HWY, HOBE SOUND, FL, 334555303, US | 11786 SE FEDERAL HWY, HOBE SOUND, FL, 334555303, US | |||||||||||||||||||
|
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| Phone | +1 772-546-4215 |
| Fax | 7725468741 |
Authorized person
| Name | MRS. THERESA KELLER GOEBEL |
| Role | PRESIDENT |
| Phone | 7725464215 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | OS8519 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOEBEL THERESA K | Agent | 19985 WILKINSON LEAS RD, TEQUESTA, FL, 33469 |
| Name | Role | Address |
|---|---|---|
| GOEBEL THERESA K | Director | 19985 WILKINSON LEAS RD, TEQUESTA, FL, 33469 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000006017 | A CORNERSTONE FAMILY PRACTICE | ACTIVE | 2017-01-17 | 2027-12-31 | No data | 11786 SE FEDERAL HIGHWAY, HOBE SOUND, FL, 33455 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2011-04-25 | 11786 SE FEDERAL HIGHWAY, HOBE SOUND, FL 33455 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-25 | 19985 WILKINSON LEAS RD, TEQUESTA, FL 33469 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-01 | 11786 SE FEDERAL HIGHWAY, HOBE SOUND, FL 33455 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-06-18 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-03-31 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
