| Entity Name: | DAVID L. TERZIGNI, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Jun 2005 (20 years ago) |
| Document Number: | P05000091997 |
| FEI/EIN Number | 710985403 |
| Address: | 11015 SPRING HILL DRIVE, SPRING HILL, FL, 34608, US |
| Mail Address: | 11015 SPRING HILL DRIVE, SPRING HILL, FL, 34608, US |
| ZIP code: | 34608 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164772687 | 2012-09-12 | 2012-09-12 | 5355 SPRING HILL DR, SPRING HILL, FL, 346064540, US | 5355 SPRING HILL DR, SPRING HILL, FL, 346064540, US | |||||||||||||||||||||||||
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| Phone | +1 352-688-5586 |
| Fax | 3526885535 |
Authorized person
| Name | DR. DAVID LOWELL TERZIGNI |
| Role | PRESIDENT |
| Phone | 3525970050 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS8106 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 261770600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SNOW ROBERT B | Agent | 112 NORTH ORANGE AVENUE, BROOKS VILLE, FL, 34601 |
| Name | Role | Address |
|---|---|---|
| TERZIGNI DAVID L | President | 11015 SPRING HILL DRIVE, SPRING HILL, FL, 34608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-20 | 11015 SPRING HILL DRIVE, SPRING HILL, FL 34608 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-20 | 11015 SPRING HILL DRIVE, SPRING HILL, FL 34608 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-09 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
