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IGOR MELNYCHUK MD PA

Company Details

Entity Name: IGOR MELNYCHUK MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Mar 2005 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Oct 2010 (14 years ago)
Document Number: P05000047141
FEI/EIN Number 202586128
Address: 14546 OLD ST. AUGUSTINE RD., STE 107, JACKSONVILLE, FL, 32258, US
Mail Address: 6 Turtledove Trail, Asheville, NC, 28805, US
ZIP code: 32258
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609069228 2007-08-27 2007-08-27 PO BOX 2791, PONTE VEDRA BEACH, FL, 320042791, US 259 RENDEZVOUS LN, PONTE VEDRA, FL, 320821253, US

Contacts

Phone +1 904-388-3351

Authorized person

Name MR. IGOR MELNYCHUK
Role PRESIDENT
Phone 9043883351

Taxonomy

Taxonomy Code 207RI0200X - Infectious Disease Physician
Is Primary Yes

Agent

Name Role Address
MELNYCHUK IGOR Agent 13810 SUTTON PARK DRIVE, NORTH, JACKSONVILLE, FL, 32224

President

Name Role Address
MELNYCHUK IGOR President 13810 SUTTON PARK DRIVE, NORTH, # 138, JACKSONVILLE, FL, 32224

Secretary

Name Role Address
MELNYCHUK IGOR Secretary 13810 SUTTON PARK DRIVE, NORTH, # 138, JACKSONVILLE, FL, 32224

Treasurer

Name Role Address
MELNYCHUK IGOR Treasurer 13810 SUTTON PARK DRIVE, NORTH, # 138, JACKSONVILLE, FL, 32224

Director

Name Role Address
MELNYCHUK IGOR Director 13810 SUTTON PARK DRIVE, NORTH, # 138, JACKSONVILLE, FL, 32224

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-20 412 15th Avenue South, Jacksonville Beach, FL 32250 No data
REGISTERED AGENT ADDRESS CHANGED 2025-01-20 6 Turtledove Trail, Asheville, FL 28805 No data
CHANGE OF MAILING ADDRESS 2025-01-20 412 15th Avenue South, Jacksonville Beach, FL 32250 No data
CHANGE OF MAILING ADDRESS 2014-02-26 14546 OLD ST. AUGUSTINE RD., STE 107, JACKSONVILLE, FL 32258 No data
CHANGE OF PRINCIPAL ADDRESS 2010-11-15 14546 OLD ST. AUGUSTINE RD., STE 107, JACKSONVILLE, FL 32258 No data
REGISTERED AGENT ADDRESS CHANGED 2010-10-12 13810 SUTTON PARK DRIVE, NORTH, # 138, JACKSONVILLE, FL 32224 No data
REINSTATEMENT 2010-10-12 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CANCEL ADM DISS/REV 2009-05-15 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-20
ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-04
ANNUAL REPORT 2016-02-04

Date of last update: 01 Feb 2025

Sources: Florida Department of State