Entity Name: | KAREN E. DRISCOLL, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 19 Sep 2007 (17 years ago) |
Document Number: | P07000103969 |
FEI/EIN Number | 35-2309466 |
Address: | 6170 MULLIN STREET, JUPITER, FL 33458 |
Mail Address: | 6170 MULLIN STREET, JUPITER, FL 33458 |
ZIP code: | 33458 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1356511778 | 2008-03-03 | 2008-06-26 | 2141 ALTERNATE A1A SOUTH, SUITE 100, JUPITER, FL, 334774063, US | 2141 ALTERNATE A1A SOUTH, SUITE 100, JUPITER, FL, 334774063, US | |||||||||||||||||||
|
Phone | +1 561-747-7808 |
Fax | 5617477898 |
Authorized person
Name | DR. KAREN E DRISCOLL |
Role | PRESIDENT |
Phone | 5617477808 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME50975 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DRISCOLL, KAREN E | Agent | 2151 S. ALTERNATE A1A, SUITE 400, JUPITER, FL 33477 |
Name | Role | Address |
---|---|---|
DRISCOLL, KAREN EMD | President | 6170 MULLIN STREET, JUPITER, FL 33458 |
Name | Role | Address |
---|---|---|
DRISCOLL, KAREN EMD | Director | 6170 MULLIN STREET, JUPITER, FL 33458 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2019-03-21 | 6170 MULLIN STREET, JUPITER, FL 33458 | No data |
CHANGE OF MAILING ADDRESS | 2019-03-21 | 6170 MULLIN STREET, JUPITER, FL 33458 | No data |
REGISTERED AGENT NAME CHANGED | 2019-03-21 | DRISCOLL, KAREN E | No data |
REGISTERED AGENT ADDRESS CHANGED | 2019-03-21 | 2151 S. ALTERNATE A1A, SUITE 400, JUPITER, FL 33477 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-26 |
ANNUAL REPORT | 2024-01-27 |
ANNUAL REPORT | 2023-02-11 |
ANNUAL REPORT | 2022-01-22 |
ANNUAL REPORT | 2021-01-10 |
ANNUAL REPORT | 2020-02-01 |
Reg. Agent Change | 2019-03-21 |
ANNUAL REPORT | 2019-02-02 |
ANNUAL REPORT | 2018-01-28 |
ANNUAL REPORT | 2017-01-29 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State