| Entity Name: | FLORIDA EAST COAST MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Oct 2007 (17 years ago) |
| Document Number: | P07000115749 |
| FEI/EIN Number | 770706313 |
| Mail Address: | 1621 SW PROSPERITY WAY, PALM CITY, FL, 34990 |
| Address: | 1107 N PARROTT AVENUE, OKEECHOBEE, FL, 34972, US |
| ZIP code: | 34972 |
| County: | Okeechobee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699954057 | 2007-11-01 | 2019-07-09 | 1107 N PARROTT AVE, OKEECHOBEE, FL, 349722128, US | 1107 N PARROTT AVE, OKEECHOBEE, FL, 34972, US | |||||||||||||||||
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| Phone | +1 863-763-6496 |
| Fax | 8637631965 |
| Phone | +1 863-763-5122 |
Authorized person
| Name | MR. DMITRY MISHELEVICH III |
| Role | V-P/CFO |
| Phone | 8637636496 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MISHELEVICH DMITRY E | Agent | 1621 SW PROSPERITY WAY, PALM CITY, FL, 34990 |
| Name | Role | Address |
|---|---|---|
| MISHELEVICH LUDMILA M | President | 1107 N PARROTT AVE, OKEECHOBEE, FL, 34972 |
| Name | Role | Address |
|---|---|---|
| MISHELEVICH LUDMILA M | Vice President | 1107 N PARROTT AVE, OKEECHOBEE, FL, 34972 |
| Name | Role | Address |
|---|---|---|
| MISHELEVICH DMITRY | Secretary | 1107 N PARROTT AVE, OKEECHOBEE, FL, 34972 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-15 | 1107 N PARROTT AVENUE, OKEECHOBEE, FL 34972 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-07 | 1107 N PARROTT AVENUE, OKEECHOBEE, FL 34972 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-02-12 | MISHELEVICH, DMITRY E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-12 | 1621 SW PROSPERITY WAY, PALM CITY, FL 34990 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-02-19 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-04-15 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-03-27 |
| ANNUAL REPORT | 2015-03-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
