| Entity Name: | BRIAN A. COSTELL, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 23 Jul 2004 (21 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P04000109160 |
| FEI/EIN Number | 22-3902071 |
| Address: | 9970 CENTRAL PARK BLVD, SUITE 207, BOCA RATON, FL 33428 |
| Mail Address: | 9970 CENTRAL PARK BLVD, SUITE 207, BOCA RATON, FL 33428 |
| ZIP code: | 33428 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568653335 | 2007-08-07 | 2009-04-15 | 9970 CENTRAL PARK BLVD N, SUITE 401, BOCA RATON, FL, 334282231, US | 9970 CENTRAL PARK BLVD N, SUITE 401, BOCA RATON, FL, 334282231, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 561-482-1027 |
| Fax | 5614821028 |
Authorized person
| Name | DR. BRIAN A COSTELL |
| Role | PRESIDENT |
| Phone | 5614821027 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COSTELL, BRIAN A | Agent | 9970 CENTRAL PARK BLVD, SUITE 207, BOCA RATON, FL 33428 |
| Name | Role | Address |
|---|---|---|
| COSTELL, BRIAN A | Manager | 9970 CENTRAL PARK BLVD SUITE 207, BOCA RATON, FL 33428 |
| Name | Role | Address |
|---|---|---|
| COSTELL, BRIAN A | Director | 9970 CENTRAL PARK BLVD SUITE 207, BOCA RATON, FL 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-22 | 9970 CENTRAL PARK BLVD, SUITE 207, BOCA RATON, FL 33428 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-22 | 9970 CENTRAL PARK BLVD, SUITE 207, BOCA RATON, FL 33428 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-22 | 9970 CENTRAL PARK BLVD, SUITE 207, BOCA RATON, FL 33428 | No data |
| AMENDMENT AND NAME CHANGE | 2007-07-23 | BRIAN A. COSTELL, M.D., P.A. | No data |
| REGISTERED AGENT NAME CHANGED | 2007-07-10 | COSTELL, BRIAN A | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-13 |
| ANNUAL REPORT | 2011-02-22 |
| ANNUAL REPORT | 2010-01-07 |
| ANNUAL REPORT | 2009-03-02 |
| ANNUAL REPORT | 2008-01-20 |
| Amendment and Name Change | 2007-07-23 |
| ANNUAL REPORT | 2007-07-10 |
| ANNUAL REPORT | 2006-05-08 |
| ANNUAL REPORT | 2005-08-04 |
| Domestic Profit | 2004-07-23 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
