| Entity Name: | JEFFREY S GORODETSKY, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JEFFREY S GORODETSKY, MD, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 17 Oct 2005 (20 years ago) |
| Date of dissolution: | 02 Feb 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 Feb 2017 (8 years ago) |
| Document Number: | P05000141541 |
| FEI/EIN Number |
550907821
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2581 SW Racquet Club Drive, Palm City, FL, 34990, US |
| Mail Address: | PO Box 2333, STUART, FL, 34995, US |
| ZIP code: | 34990 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811186653 | 2007-10-17 | 2012-09-17 | 433 E OCEAN BLVD, STUART, FL, 349942573, US | 433 E OCEAN BLVD, STUART, FL, 349942573, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-223-4504 |
| Fax | 7722235988 |
Authorized person
| Name | DR. JEFFREY S GORODETSKY |
| Role | PRESIDENT |
| Phone | 7722234504 |
Taxonomy
| Taxonomy Code | 173000000X - Legal Medicine |
| License Number | ME0053894 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 07463 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | P00307631 |
| State | FL |
| Issuer | MEDICAID |
| Number | 048745701 |
| State | FL |
| Issuer | MEDICARE INDIVIDUAL |
| Number | 07463P |
| State | FL |
| Issuer | MEDICACE GROUP |
| Number | K9632 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GORODETSKY JEFFREY S | President | 2581 SW Racquet Club Drive, Palm City, FL, 34990 |
| GORODETSKY JEFFREY S | Agent | 2581 SW Racquet Club Drive, Palm City, FL, 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-02-02 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-02 | 2581 SW Racquet Club Drive, Palm City, FL 34990 | - |
| CHANGE OF MAILING ADDRESS | 2016-03-02 | 2581 SW Racquet Club Drive, Palm City, FL 34990 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-02 | 2581 SW Racquet Club Drive, Palm City, FL 34990 | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2017-02-02 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-01-11 |
| ANNUAL REPORT | 2014-01-11 |
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-03-29 |
| ANNUAL REPORT | 2011-02-17 |
| ANNUAL REPORT | 2010-02-18 |
| ANNUAL REPORT | 2009-06-25 |
| ANNUAL REPORT | 2008-04-25 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
