| Entity Name: | GEORGE GEORGAKAKIS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Jul 2003 (22 years ago) |
| Document Number: | P03000073374 |
| FEI/EIN Number | 200060013 |
| Address: | 4801 N FEDERAL HWY, SUITE 302, FT LAUDERDALE, FL, 33308 |
| Mail Address: | 4801 N FEDERAL HWY, SUITE 302, FT LAUDERDALE, FL, 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982909537 | 2011-01-12 | 2011-01-12 | 4801 N FEDERAL HWY, SUITE 302, FORT LAUDERDALE, FL, 333084618, US | 4801 N FEDERAL HWY, SUITE 302, FORT LAUDERDALE, FL, 333084618, US | |||||||||||||||||||||||||
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| Phone | +1 954-493-8773 |
| Fax | 9544938807 |
Authorized person
| Name | DR. GEORGE GEORGAKAKIS |
| Role | DOCTOR |
| Phone | 9544938807 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| License Number | ME82034 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PPAN |
| Number | 51006 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GEORGE GEORGAKAKIS, M.D., P.A. 401(K) PLAN | 2023 | 200060013 | 2024-09-16 | GEORGE GEORGAKAKIS, M.D., P.A. | 8 | |||||||||||||
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| GEORGE GEORGAKAKIS, M.D., P.A. 401(K) PLAN | 2022 | 200060013 | 2023-07-14 | GEORGE GEORGAKAKIS, M.D., P.A. | 8 | |||||||||||||
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| GEORGE GEORGAKAKIS, M.D., P.A. 401(K) PLAN | 2021 | 200060013 | 2022-09-21 | GEORGE GEORGAKAKIS, M.D., P.A. | 8 | |||||||||||||
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| GEORGE GEORGAKAKIS, M.D., P.A. 401(K) PLAN | 2020 | 200060013 | 2021-10-11 | GEORGE GEORGAKAKIS, M.D., P.A. | 8 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| GEORGAKAKIS GEORGE M | Agent | 4801 N FEDERAL HWY, FT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| GEORGAKAKIS GEORGE | Director | 4801 N FEDERAL HWY STE 302, FT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-04 | 4801 N FEDERAL HWY, SUITE 302, FT LAUDERDALE, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-04 | 4801 N FEDERAL HWY, SUITE 302, FT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-04 | 4801 N FEDERAL HWY, SUITE 302, FT LAUDERDALE, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-26 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-02-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
