| Entity Name: | KENT WENGER, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Feb 2005 (20 years ago) |
| Document Number: | P05000017512 |
| FEI/EIN Number | 202259192 |
| Address: | 5208 SW 91ST WAY, #110, GAINESVILLE, FL, 32608, US |
| Mail Address: | 5208 SW 91ST WAY, #110, GAINESVILLE, FL, 32608, US |
| ZIP code: | 32608 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578759379 | 2007-09-15 | 2007-09-15 | 310 NW 76TH DR, SUITE A, GAINESVILLE, FL, 326071593, US | 310 NW 76TH DR, SUITE A, GAINESVILLE, FL, 326071593, US | |||||||||||||||||||
|
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| Phone | +1 352-333-1109 |
| Fax | 3523316323 |
Authorized person
| Name | DR. KENT WENGER |
| Role | OWNER |
| Phone | 3523331109 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME86559 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WENGER KENT NDr. | Agent | 2027 SW 78TH TER, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| WENGER KENT NDr. | President | 2027 SW 78TH TER, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| WENGER KENT NDr. | Director | 2027 SW 78TH TER, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| WENGER KENT NDr. | Secretary | 2027 SW 78TH TER, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| WENGER KENT NDr. | Treasurer | 2027 SW 78TH TER, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| WENGER SHERRY | Vice President | 2027 SW 78TH TER, GAINESVILLE, FL, 32607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-14 | 5208 SW 91ST WAY, #110, GAINESVILLE, FL 32608 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-14 | 5208 SW 91ST WAY, #110, GAINESVILLE, FL 32608 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-17 | WENGER, KENT Norman, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-16 | 2027 SW 78TH TER, GAINESVILLE, FL 32607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-09-14 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-05-08 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-02-09 |
| ANNUAL REPORT | 2015-06-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
