IVY FASKE, M.D., P.A. - Florida Company Profile
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| Entity Name: | IVY FASKE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Feb 2006 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 01 Jun 2015 (10 years ago) |
| Document Number: | P06000025744 |
| FEI/EIN Number | 204365063 |
| Address: | 11211 Prosperity Farms Rd., SUITE A102, PALM BEACH GARDENS, FL, 33410, US |
| Mail Address: | 11211 Prosperity Farms Rd., SUITE A102, PALM BEACH GARDENS, FL, 33410, US |
| ZIP code: | 33410 |
| City: | Palm Beach Gardens |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| FASKE IVY | President | 11211 Prosperity Farms Rd., PALM BEACH GARDENS, FL, 33410 |
| MAYER JACK | Secretary | 11211 Prosperity Farms Rd., PALM BEACH GARDENS, FL, 33410 |
| SINGER MICHAEL SEsq. | Agent | 3801 PGA BOULEVARD, PALM BEACH GARDENS, FL, 33410 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000073228 | MY PERSONAL PEDIATRICIAN | ACTIVE | 2018-07-02 | 2028-12-31 | - | 11211 PROSPERITY FARMS RD., SUITE A102, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-05 | 11211 Prosperity Farms Rd., SUITE A102, PALM BEACH GARDENS, FL 33410 | - |
| CHANGE OF MAILING ADDRESS | 2019-02-05 | 11211 Prosperity Farms Rd., SUITE A102, PALM BEACH GARDENS, FL 33410 | - |
| AMENDMENT | 2015-06-01 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-02-10 | SINGER, MICHAEL S., Esq. | - |
| AMENDMENT | 2006-04-21 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-10 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-01-14 |
| Amendment | 2015-06-01 |
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Date of last update: 02 Aug 2025
Sources: Florida Department of State