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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
REPKE KURT BDr. | Agent | 1965 COVE LANE, CLEARWATER, FL, 33764 |
Name | Role | Address |
---|---|---|
REPKE KURT B | President | 1965 COVE LANE, CLEARWATER, FL, 33764 |
Name | Role | Address |
---|---|---|
REPKE KURT B | Secretary | 1965 COVE LANE, CLEARWATER, FL, 33764 |
Name | Role | Address |
---|---|---|
REPKE KURT B | Director | 1965 COVE LANE, CLEARWATER, FL, 33764 |
Name | Role | Address |
---|---|---|
REPKE JOAN L | Vice President | 1965 COVE LANE, CLEARWATER, FL, 33764 |
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 |
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