| Entity Name: | EDGEWATER GYNECOLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Apr 2004 (21 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Oct 2018 (6 years ago) |
| Document Number: | P04000060780 |
| FEI/EIN Number | 200997496 |
| Address: | 433 NORTH CAUSEWAY, NEW SMYRNA BEACH, FL, 32169, US |
| Mail Address: | 433 NORTH CAUSEWAY, NEW SMYRNA BEACH, FL, 32169, US |
| ZIP code: | 32169 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508818691 | 2006-05-17 | 2020-08-22 | 109 W. KNAPP AVENUE, EDGEWATER, FL, 32132, US | 109 W. KNAPP AVENUE, EDGEWATER, FL, 32132, US | |||||||||||||||
|
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| Phone | +1 386-427-4544 |
| Fax | 3864278688 |
Authorized person
| Name | HEATHER MICHELLE METCHICK |
| Role | PRESIDENT |
| Phone | 3864274544 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| METCHICK HEATHER M | Agent | 433 NORTH CAUSEWAY, NEW SMYRNA BEACH, FL, 32169 |
| Name | Role | Address |
|---|---|---|
| METCHICK HEATHER M | Manager | 433 NORTH CAUSEWAY, NEW SMYRNA BEACH, FL, 32169 |
| Name | Role | Address |
|---|---|---|
| METCHICK HEATHER M | Director | 433 NORTH CAUSEWAY, NEW SMYRNA BEACH, FL, 32169 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000029556 | COASTAL WOMENS HEALTH | EXPIRED | 2014-03-24 | 2019-12-31 | No data | 433 NORTH CAUSEWAY, NEW SMYRNA BEACH, FL, 32169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-10-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-08 | METCHICK, HEATHER MICHELLE | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-06-16 | 433 NORTH CAUSEWAY, NEW SMYRNA BEACH, FL 32169 | No data |
| CHANGE OF MAILING ADDRESS | 2014-06-16 | 433 NORTH CAUSEWAY, NEW SMYRNA BEACH, FL 32169 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-06-16 | 433 NORTH CAUSEWAY, NEW SMYRNA BEACH, FL 32169 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-04-01 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-01-02 |
| REINSTATEMENT | 2018-10-08 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
