Search icon

KURT B. REPKE, M.D., P.A.

Company Details

Entity Name: KURT B. REPKE, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 May 2003 (22 years ago)
Document Number: P03000051205
FEI/EIN Number 861062207
Address: 646 VIRGINIA ST 5TH FL, 5TH FLOOR, DUNEDIN, FL, 34698
Mail Address: 1965 COVE LN, CLEARWATER, FL, 33764
ZIP code: 34698
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154530707 2007-05-21 2020-08-22 1965 COVE LN, CLEARWATER, FL, 337646426, US 646 VIRGINIA ST, 5TH FLOOR, DUNEDIN, FL, 346986612, US

Contacts

Phone +1 727-736-7873
Fax 7277367905

Authorized person

Name DR. KURT BRYAN REPKE
Role PRESIDENT
Phone 7277367873

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
License Number ME0079899
State FL
Is Primary Yes

Agent

Name Role Address
REPKE KURT BDr. Agent 1965 COVE LANE, CLEARWATER, FL, 33764

President

Name Role Address
REPKE KURT B President 1965 COVE LANE, CLEARWATER, FL, 33764

Secretary

Name Role Address
REPKE KURT B Secretary 1965 COVE LANE, CLEARWATER, FL, 33764

Director

Name Role Address
REPKE KURT B Director 1965 COVE LANE, CLEARWATER, FL, 33764

Vice President

Name Role Address
REPKE JOAN L Vice President 1965 COVE LANE, CLEARWATER, FL, 33764

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-01-10 REPKE, KURT BR, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-10 1965 COVE LANE, CLEARWATER, FL 33764 No data
CHANGE OF PRINCIPAL ADDRESS 2012-01-07 646 VIRGINIA ST 5TH FL, 5TH FLOOR, DUNEDIN, FL 34698 No data

Documents

Name Date
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-01-29
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-02-02
ANNUAL REPORT 2018-01-21
ANNUAL REPORT 2017-01-15
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-01-10

Date of last update: 02 Feb 2025

Sources: Florida Department of State