| Entity Name: | VICTORIA A. GENSEMER, D.P.M., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Mar 2006 (19 years ago) |
| Document Number: | P06000042327 |
| FEI/EIN Number | 010861438 |
| Address: | 5210 LINTON BLVD, SUITE 305, DELRAY BEACH, FL, 33484 |
| Mail Address: | 5210 LINTON BLVD, SUITE 305, DELRAY BEACH, FL, 33484 |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043266075 | 2006-05-25 | 2008-02-15 | 5210 LINTON BLVD, SUITE 305, DELRAY BEACH, FL, 334846542, US | 5210 LINTON BLVD, SUITE 305, DELRAY BEACH, FL, 334846542, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-498-9888 |
| Fax | 5614987626 |
Authorized person
| Name | DR. VICTORIA A GENSEMER |
| Role | PRESIDENT |
| Phone | 5614989888 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO3138 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BEECH STREET |
| Number | 21293672428 |
| State | FL |
| Issuer | GHI |
| Number | 10861438 |
| State | FL |
| Issuer | CIGNA |
| Number | 1955132 |
| State | FL |
| Issuer | PHCS |
| Number | 9432177 |
| State | FL |
| Issuer | BCBS |
| Number | 65884 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BALLINGER STEVEN R | Agent | 1792 BELL TOWER LANE, WESTON, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| GENSEMER VICTORIA | President | 5210 LINTON BLVD SUITE #305, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2007-02-22 | 5210 LINTON BLVD, SUITE 305, DELRAY BEACH, FL 33484 | No data |
| CHANGE OF MAILING ADDRESS | 2007-02-22 | 5210 LINTON BLVD, SUITE 305, DELRAY BEACH, FL 33484 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-07-26 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-02-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
