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STUART L. WANUCK, M.D., P.A.

Company Details

Entity Name: STUART L. WANUCK, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 29 Aug 2003 (21 years ago)
Date of dissolution: 02 Mar 2016 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 02 Mar 2016 (9 years ago)
Document Number: P03000096726
FEI/EIN Number 57-1186806
Address: 1920 PALM BEACH LAKES BLVD., STE. 115, WEST PALM BEACH, FL 33409
Mail Address: 1920 PALM BEACH LAKES BLVD., STE. 115, WEST PALM BEACH, FL 33409
ZIP code: 33409
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043532799 2010-02-23 2010-02-23 1920 PALM BEACH LAKES BLVD, SUITE 115, WEST PALM BEACH, FL, 334093512, US 1920 PALM BEACH LAKES BLVD, SUITE 115, WEST PALM BEACH, FL, 334093512, US

Contacts

Phone +1 561-686-1707
Fax 5616861709

Authorized person

Name STUART L WANUCK
Role PRESIDENT
Phone 5616861707

Taxonomy

Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

Agent

Name Role Address
ZANE, JEFFREY PESQ. Agent 4100 RCA BLVD. STE.110, PALM BEACH GARDENS, FL 33410

Manager

Name Role Address
WANUCK, STUART L Manager 1920 PALM BEACH LAKES BLVD. SUITE 115, WEST PALM BEACH, FL 33409

Director

Name Role Address
WANUCK, STUART L Director 1920 PALM BEACH LAKES BLVD. SUITE 115, WEST PALM BEACH, FL 33409

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-03-02 No data No data
REGISTERED AGENT ADDRESS CHANGED 2009-03-30 4100 RCA BLVD. STE.110, PALM BEACH GARDENS, FL 33410 No data
CHANGE OF PRINCIPAL ADDRESS 2004-02-24 1920 PALM BEACH LAKES BLVD., STE. 115, WEST PALM BEACH, FL 33409 No data
CHANGE OF MAILING ADDRESS 2004-02-24 1920 PALM BEACH LAKES BLVD., STE. 115, WEST PALM BEACH, FL 33409 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2016-03-02
ANNUAL REPORT 2015-03-16
ANNUAL REPORT 2014-04-08
ANNUAL REPORT 2013-04-04
ANNUAL REPORT 2012-01-09
ANNUAL REPORT 2011-01-16
ANNUAL REPORT 2010-01-08
ANNUAL REPORT 2009-03-30
ANNUAL REPORT 2008-03-15
ANNUAL REPORT 2007-01-30

Date of last update: 06 Jan 2025

Sources: Florida Department of State