| Entity Name: | INFECTIOUS DISEASES OF THE TREASURE COAST PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Jun 2009 (16 years ago) |
| Date of dissolution: | 02 May 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 May 2019 (6 years ago) |
| Document Number: | P09000055039 |
| FEI/EIN Number | 27-0463748 |
| Address: | 501 N.W. LAKE WHITNEY PLACE, SUITE 102, PORT ST. LUCIE, FL 34986 |
| Mail Address: | 501 N.W. LAKE WHITNEY PLACE, SUITE 102, PORT ST. LUCIE, FL 34986 |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376879361 | 2009-10-26 | 2009-10-26 | 501 NW LAKE WHITNEY PL, SUITE 102, PORT ST LUCIE, FL, 349861615, US | 501 NW LAKE WHITNEY PL, SUITE 102, PORT ST LUCIE, FL, 349861615, US | |||||||||||||||||||||||||
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| Phone | +1 772-343-1570 |
| Fax | 7723431601 |
Authorized person
| Name | DR. DRAGANA ORLOVIC |
| Role | PRESIDENT |
| Phone | 7723431570 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| License Number | ME 92636 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 273205000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ORLOVIC, MILOS | Agent | 501NW LAKE WHITNEY PLACE, SUITE 102, PORT ST. LUCIE, FL 34986-1615 |
| Name | Role | Address |
|---|---|---|
| ORLOVIC, DRAGANA | Director | 5553 SW BELLFLOWER CT, PALM CITY, FL 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-05-02 | No data | No data |
| REINSTATEMENT | 2010-10-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2009-11-02 | INFECTIOUS DISEASES OF THE TREASURE COAST PA | No data |
| REGISTERED AGENT NAME CHANGED | 2009-11-02 | ORLOVIC, MILOS | No data |
| AMENDMENT | 2009-10-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-10-21 | 501 N.W. LAKE WHITNEY PLACE, SUITE 102, PORT ST. LUCIE, FL 34986 | No data |
| CHANGE OF MAILING ADDRESS | 2009-10-21 | 501 N.W. LAKE WHITNEY PLACE, SUITE 102, PORT ST. LUCIE, FL 34986 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-10-21 | 501NW LAKE WHITNEY PLACE, SUITE 102, PORT ST. LUCIE, FL 34986-1615 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-05-02 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-13 |
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-01-18 |
| ANNUAL REPORT | 2012-01-17 |
| ANNUAL REPORT | 2011-02-18 |
| REINSTATEMENT | 2010-10-08 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
