Entity Name: | ZBIGNIEW JACOB LITWINCZUK MD PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 16 Aug 2005 (19 years ago) |
Last Event: | CANCEL ADM DISS/REV |
Event Date Filed: | 05 Oct 2006 (18 years ago) |
Document Number: | P05000114259 |
FEI/EIN Number | 203294411 |
Address: | 3370 Burns Rd, Ste 103, Palm Beach Gardens, FL, 33410, US |
Mail Address: | 3370 Burns Rd, Ste 103, Palm Beach Gardens, FL, 33410, US |
ZIP code: | 33410 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1558556613 | 2007-09-12 | 2007-12-10 | PO BOX 446, JUPITER, FL, 334680446, US | 3365 BURNS RD, SUITE 203, PALM BEACH GARDENS, FL, 334104326, US | |||||||||||||||||||
|
Phone | +1 561-662-5040 |
Fax | 5616628833 |
Authorized person
Name | DR. ZBIGNIEW JACOB LITWINCZUK |
Role | OWNER |
Phone | 5616625040 |
Taxonomy
Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
License Number | ME88024 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
FERGUSON LINDA L | Agent | 3370 Burns Rd, Palm Beach Gardens, FL, 33410 |
Name | Role | Address |
---|---|---|
LITWINCZUK ZBIGNIEW JMD | Director | 3370 Burns Rd, Palm Beach Gardens, FL, 33410 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-04 | 3370 Burns Rd, Ste 103, Palm Beach Gardens, FL 33410 | No data |
CHANGE OF MAILING ADDRESS | 2024-04-04 | 3370 Burns Rd, Ste 103, Palm Beach Gardens, FL 33410 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-04-04 | 3370 Burns Rd, Ste 103, Palm Beach Gardens, FL 33410 | No data |
REGISTERED AGENT NAME CHANGED | 2008-07-30 | FERGUSON, LINDA L | No data |
CANCEL ADM DISS/REV | 2006-10-05 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
AMENDMENT | 2005-10-10 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-04 |
ANNUAL REPORT | 2023-04-25 |
ANNUAL REPORT | 2022-07-14 |
ANNUAL REPORT | 2021-07-23 |
ANNUAL REPORT | 2020-06-18 |
ANNUAL REPORT | 2019-04-11 |
ANNUAL REPORT | 2018-03-28 |
ANNUAL REPORT | 2017-03-28 |
ANNUAL REPORT | 2016-03-08 |
ANNUAL REPORT | 2015-04-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State